SMEA MEMBERSHIP / DATA CONSENT FORM
The following information will be used to contact members for renewal and membership drive purposes, to send newsletters or journals, and to forward conference, program, services and professional development opportunities information.
A membership in SMEA also entitles you to a membership in the Canadian Music Educactors Association. Your name, address and membership catalogue will be shared with the CMEA. The SMEA is a Special Subject Council of the Saskatchewan Teacher's Federation and recieves grants based on membership. Your name, address, membership cactalogue and teaching Certificate Number will be shared with the STF. The SMEA receives funding from the Sask Lottery Trust. Your name, postal code and membership catalogue may be shared with SaskCulture Inc for advocacy purposes. Information gathered regarding individual members will be retained on database in the SMEA general office for a period of twenty-four months along with this signed and dated consent form.
MEMBERSHIP APPLICATION / RENEWAL FORM
name:_________________________________________________
address:_________________________________________________
_________________________________________________
_________________________________________________Postal Code _________________
Teaching Certificate Number (to verify STF membership)
home phone_________________________________________________
business phone_________________________________________________
email address_________________________________________________
fax number_________________________________________________
|
Type of Membership:
__________Regular $50
__________Associate $30
__________Retired $30
__________Student $15
__________Administrative $100
__________Parent/Group $25
__________Corporate $75 |
Areas of Interest:
__________Instrumental
__________Choral
__________Classroom
__________Mentor
__________Consultant
|
I am enclosing $__________ for membership fees.
(optional) I choose to be excluded from lists that may be disclosed to SaskCulture Inc. ____
Signature:_________________________________date:_______________
|
|