2021-2022 ISHI Membership Form
Complete this form to become a Member of ISHI for the 2021-22 School Year.  Membership benefits include access ISHI group emails, the ISHI Members' Website, and the ISHI Member Directory.

Effective 2016-17 school year, ISHI Membership Dues are $30 per year.  Membership dues can be paid by check, made out to ISHI.
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Purpose behind filling out the membership form
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Last Name *
First Name *
Region, School or Program *
Job Title *
Work Address (Number and Street) *
Work City *
Work State *
Work Zip Code *
Work Phone *
Work Cell Phone (if applicable)
Work Email Address *
One of the goals of ISHI is to provide support and positive connections for our members. In that vein, we've enacted a new program to recognize members' birthdays. If you would like to participate, please provide the month and day of your birthday.
Please check all areas in which you currently hold an Illinois Professional Educator License *
Membership Types
As stated in the ISHI by-laws, "Voting membership shall be limited to individuals who:
-   Hold a valid certificate to teach students who are deaf/hard of hearing in the state of Illinois and;
-   Are responsible for the coordination or supervision of educational programs or services for students birth through 21 who are deaf or hard of hearing or are on the faculty of university programs which train teachers of students who are deaf or hard of hearing.
Other ancillary service providers are welcome at meetings but are not eligible to vote. Special consideration for granting voting membership shall be given to requests from individuals with experience, expertise or other certifications, or who represent other agencies."
Membership Dues - $30 per year
After clicking submit below, you will receive a confirmation that your membership form has been received.  Please print the page and keep it as a record of your membership.  You may send payment to:
Jennifer Lindstrom
6020 West 151st Street
Oak Forrest, IL 60452

Next step: If you wish to attend ISHI meetings during the 2021-2022 school year, please complete the Meeting Registration and submit your registration fee.  Meeting Registration can be accessed on the ISHI Website, under the Membership menu.  Membership dues and Meeting Registration fees can be sent on one check, or separately.
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