Home Phone
Title Years Principal Years Current Position
Fax
Grade CodeDistrict District #
Preferred First Name
Home Address
School
School Address
School Phone
MASSP Division
Name
Minnesota Association of Secondary School PrincipalsNational Association of Secondary School Principals
Membership Application 2020-2021
Date_____________ Signature_______________________________________________
Method of Payment (please check)Payment EnclosedPurchase Order Enclosed
5 Payments- Active MASSP/NASSP- $170.00 Must be paid in full by March 2, 2021 includes $5.00 handling fee5 Payments Active MASSP- $120.00
Must be paid in full by March 2, 2021 includes $5.00 handling fee
Minnesota Association of Secondary School Principals2 Pine Tree Drive, Suite 380
Arden Hills, MN 55112Telephone (612) 361-1510
Fax (612) 361-6340
MASSP OFFICE USE - PLEASE DO NOT WRITE IN THIS SPACE
(Please update information below)
Sal First MI Last
Because of money spent on lobbying efforts; only 92% of MASSP dues is deductible for income tax purposes.
ext Cell Phone
Date of Birth
MASSP Dues $_________NASSP Dues $_________Division Dues $_________
Total $_________EdLeaders Network (ELN) Subscription $_________
Active ..................................................................................................Working Interns ...................................................................................
Associate (Examples: College, University & State Department Staff)..Members on Leave (Examples: RIF, Mobility, Sabbatical)...............
Retired .............................................................................................Colleague (Examples: Graduate Student, Teacher).........................
MEMBERSHIP (please check) MASSP Dues NASSP Dues$595.00 $250.00
$25.00$60.00
$130.00
$70.00$130.00
$50.00$85.00
$250.00
$250.00$250.00
Division DuesCapitol
SoutheastNorthern
Central
NortheastHennepin
SouthwestWestern
$20.00$25.00$20.00$25.00$25.00$25.00$30.00$20.00First time NASSP members may join NASSP for only $215.00 when joining MASSP
EdLeaders Network (ELN) SubscriptionIndividual MASSP member rate - $99.00For Group subscription rates go to http://www.edleadersnetwork.org
