MASBA Membership Intake Form
Communication is a priority for MASBA.  Please complete the following form so that we may effectively communicate with MASBA Members and share all pertinent information, opportunities, and organization benefits.  If there are any questions, please email Dr. Mary Gonzalez at
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School District Name
School District Size (invoice will be sent once form is submitted)
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Primary District Contact Name and Title
Primary District Contact Email
Primary District Contact Phone Number
Superintendent Email
Primary Contact for Scholarship Information (name)
Primary Contact for Scholarship Information Email
Board Members Email (please provide all addresses so we may share important information)
Which ESC is your district apart of?
Are there any social media accounts you would like for us to link, follow, and uplift?
Do you have any questions regarding your MASBA membership?
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