minnesota association of secondary school principals national … · 2020-05-05 · 5 payments-...

Home Phone Title Years Principal Years Current Position Fax Grade Code District District # Preferred First Name Home Address School School Address School Phone MASSP Division Name Minnesota Association of Secondary School Principals National Association of Secondary School Principals Membership Application 2020-2021 Date_____________ Signature_______________________________________________ Method of Payment (please check) Payment Enclosed Purchase Order Enclosed 5 Payments- Active MASSP/NASSP- $170.00 Must be paid in full by March 2, 2021 includes $5.00 handling fee 5 Payments Active MASSP- $120.00 Must be paid in full by March 2, 2021 includes $5.00 handling fee Minnesota Association of Secondary School Principals 2 Pine Tree Drive, Suite 380 Arden Hills, MN 55112 Telephone (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 E-Mail 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 Dues Capitol Southeast Northern Central Northeast Hennepin Southwest Western $20.00 $25.00 $20.00 $25.00 $25.00 $25.00 $30.00 $20.00 First time NASSP members may join NASSP for only $215.00 when joining MASSP EdLeaders Network (ELN) Subscription Individual MASSP member rate - $99.00 For Group subscription rates go to http://www.edleadersnetwork.org

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Page 1: Minnesota Association of Secondary School Principals National … · 2020-05-05 · 5 Payments- Active MASSP/NASSP- $170.00 Must be paid in full by March 2, 2021 includes $5.00 handling

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

E-Mail

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