| Employment Information |
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| Your Name: |
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| Title/Position: |
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| School Name: |
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| School District: |
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| School Address Line: |
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| City: |
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| State: |
Zip Code:
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| Office Phone & Ext: |
( ) |
| Office Fax: |
( ) |
| Email Address: |
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| Mailing Preference |
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Select this option if you want mail
sent to your school address.
Select this option if you want mail sent
to your home address.
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| Personal Information |
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| Address Line: |
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| City: |
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| State: |
Zip Code:
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| Home Phone: |
( ) |
| Social Security # |
(Not Required, Useful
to PAESSP for ACT48 Reporting) |
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| Membership Selection* |
*Please choose PAESSP Aspiring Elementary
or Secondary based on your current or previous background and primary
professional interests.
Membership runs for 12 months from date of membership
activation and is not renewable for aspiring members. Available
immediately upon activation: Newsletters, Educational Magazine,
Member's Handbook, Monographs, Annual State Conference, Legal Clinics,
Leadership Academies, Workshops, and Legislative Updates. Legal aid
is not available to aspiring members.
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PAESSP
(Aspiring Elementary) $25
Pennsylvania Association of Elementary and Secondary School Principals |
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PAESSP
(Aspiring Secondary) $25
Pennsylvania Association of Elementary and Secondary School Principals |
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| Payment Options* |
*Membership will not be activated until PAESSP has received
the check. |
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Personal Check (After
submission, please mail check.)
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I understand that my membership will not be activated
until PAESSP
has received the check:
PAESSP Membership
122 Valley
Road, P.O. Box 39
Summerdale, PA 17093
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