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Member Application
*
First Name
*
Last Name
*
Email Address
*
School
*
Position Title
*
Membership Type
Please select member type
Active $395.00
Aspiring $135.00
Institutional Active $445.00
Associate $200.00
Assistant Principal $355.00
Emeritus (Now Includes Retired) $150.00
*
First calendar year in your current responsibility, not necessarily at your current school
Example - 2001
*
School Address
*
City
*
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*
Zip
*
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*
School Phone
School Fax
*
Grade Level
Pre-K
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*
Type of School
Public
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Title
*
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*
Home Address
*
Home
*
State
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
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PR
PW
RI
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SD
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VI
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*
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*
Home/Cell Phone
Preferred Address
Home
School
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Questions? Call 410-596-1619 or email
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