Arkansas ASCD Membership
Welcome! Please complete this quick and easy form to start or renew your membership with Arkansas ASCD, the organization for ALL educators. Thank you for your work in educating the Whole Child!
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Email
*
Your email
Date
*
MM
/
DD
/
YYYY
Your First Name
*
Your answer
Your Last Name
*
Your answer
Your School District or Organization
*
Your answer
Position in Your District or Organization
*
Your answer
Preferred Mailing Address (Street or PO Box)
*
Your answer
Preferred Mailing Address City
*
Your answer
Preferred Mailing Address Zip Code
*
Your answer
Preferred Phone Number
*
Your answer
Payment Plans (Please note you will not receive an invoice unless you select "Please Invoice Me")
*
PayPal
Personal Check
School District PO
Please Invoice Me
Membership Information
As we seek to serve a diverse membership made up of ALL educators in the state, the information you provide below will help us understand and better meet the needs of our members; however, your completion of these questions is optional.
Gender
Your answer
Ethnicity
Your answer
Number of Years in Education
Your answer
Age Range
20-30
31-40
41-50
51-60
61-70
71-80
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