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Mem­ber­ship Form
  1. Strengthening Leadership and Teaching for Learning

    Join your col­leagues. Share your exper­tise. Advance your career.

    Wis­con­sin ASCD, founded in 1948, is known and respected for its high qual­ity pro­grams and ser­vices that sup­port research-​based, results-​driven teach­ing and learn­ing. Wis­con­sin ASCD is the pro­fes­sional devel­op­ment orga­ni­za­tion for edu­ca­tion lead­ers inter­ested in devel­op­ing their careers. We are admin­is­tra­tors, teach­ers, prin­ci­pals, super­in­ten­dents, super­vi­sors, cur­ricu­lum direc­tors, pro­fes­sors and oth­ers – all ded­i­cated to qual­ity teach­ing, learn­ing and lead­er­ship for tomorrow’s schools.

  2. Mem­ber Information

  3. Please select your appli­ca­tion type(*)
    Please select your appli­ca­tion type.
  4. Name(*)
    Please input your name.
  5. School/​District/​Agency
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  6. Job Role(*)
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  7. If Other, Please describe
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  8. CESA #
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  1. Con­tact Information

  2. Pre­ferred Address
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  3. Address(*)
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  4. City(*)
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  5. State(*)
    Please input your state.
  6. Zip Code(*)
    Please input your zip code.
  7. Phone(*)
    Please input your phone number.
    For­mat: 5555555555
  8. Email(*)
    Please input your email address.
    Con­sider giv­ing us a per­sonal e-​mail (ie gmail, yahoo, etc) in order to avoid dis­trict spam filters.
  1. Pay­ment Information

  2. Reg­is­tra­tion Options(*)

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  3. Total Due
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  4. Your Pay­ment Options
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  5. PO #
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  6. Billing Con­tact Info (email and/​or mail­ing address invoice should be sent to)
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