and
Virginia State Reading Association
2008 - 2009 Membership Form
The VSRA Membership year runs
from September 1, 2008 – August 31, 2009
Please print LEGIBLY and
provide all information requested to ensure that you receive all local
council and VSRA mailings.
Date_______________________________
Last
Name____________________________________________ First
Name______________________ Middle Initial ___
Home Address
______________________________________________________________________________________
City, State, Zip
____________________________________________________ Home Phone
_______________________
School
Division/University___________________________
School____________________ Position_________________
E-mail___________________________________________________________
Work Phone________________________
Name of Council you are
joining_______________________________ New Member ___
Renewing Member ___
Type of
Membership: Professional $20 ___
Full-time Student $10 ___ Para-professional $10 ___
Retired $10 ___
___
I wish to join the Secondary Reading Council for an additional $5.00
International Reading
Association Member? Yes___ No ___ If yes, list IRA Membership #
________________________
Would
you like information about the International Reading Association:
Yes ___ No ___
Please make checks payable to
NNRC. Give checks and membership forms to your building
representative.
You may also send them to
Ken
Schmidt, Riverside E.S., in N.N.
Chynita
Turner, Tabb
E.S., in York
County
Sue
Fishman, PPS,
in Poquoson
Dr. Kelly Cartwright
at CNU
Sherry Edbauer,
Bethel Manor E.S., in York County