WSCA Membership Application
 
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Name:
Date:
Type of Membership
*If you are replacing an associate member, your name must first be submitted for nomination at our first meeting. Membership cannot be shared.		 Professional Member Student Member Retired Member Associate Member
School:
District:
Position:
Email:
School Address:
School Phone:
Home Address:
Home Phone:
How long in Current Position:
Replacing Member:
Amount of dues included made payable to WSCA (due by the first meeting of the year)
Professional/Associate Member - $25 Student Member - $10 Retired Member - $25 (lifetime membership)
 
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