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May 13, 2008  
Become a Member

This preliminary application indicates which membership category applies to your specific criteria. A formal application will be mailed to you.

Note: Your AEA membership will not become active until your signed application is received by your local AEA office.

First Name:  
Last Name:  
Address:  
City:  
State:  
Zip:  
Phone:  
E-mail:  
School District:  

Please select one of the following:
Employed in a Public School District
Enrolled in a College of Education course (Student Teacher)
Employed as an Education Support Professional (Cafeteria, Bus Driver, etc.)
Retired Public School Employee (Seeking Membership in AEA-Retired)

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