JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Indiana Middle Level Education Association
Membership Form (For Joint Memberships with AMLE, please see
https://www.amle.org/wp-content/uploads/2025/02/IN-IMLEA-School.pdf
)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name/Position
*
Your answer
School
*
Your answer
Address (#, Street, City, ZIP)
*
Your answer
Email
Your answer
School Phone
Your answer
Please Complete This Section for an Institutional (School) Membership, or the Next Section for an Individual Membership
5-8 Student Enrollment below 125 -$100
Student Enrollment 126-350- $200
Student Enrollment 351 or more- $300
Multiple Schools from Same District- $250 each (All Must Join)
Clear selection
Individual Membership
$50
Clear selection
Payment (Use section that applies) Purchase Order # (an invoice will then be sent).
OR
Your answer
Check will be sent to IMLEA, 11025 E 25th, Indianapolis, IN 46229
Yes
No
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
