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Change of Status Form 

If you will be changing positions for the 2013-14 school year, retiring, or leaving the field
entirely, please let us know. Current memberships expire August 31, 2013.

To ensure continuous membership for the new school year, please submit information updates.
Questions? Contact Annalee Braley, Membership Services Support (annalee@awsp.org or 800.562.6100).

Fields marked with * are required. Fill in fields where current information is changing for 2013-14.
Leave any other fields blank if there are no changes to that data.
 

 

*Name:

*Position for 2013-14:
*Name of School:
*School District:
Work Telephone:

Home Phone:
Cell Phone:
Work Fax:
Home Address:
City:
State:
Zip:
*Preferred Email:
Send my snail mail to:  Home        School
I am working under the
Retire/Rehire program.
 Yes        No

Please change my AWSP membership status for the following reason:

 I am retiring. Please send Emeritus membership information.
I am leaving the principalship for another educational position. Please send                   Associate membership information.
 I am leaving education and/or the state. Please discontinue my membership.

Additional Information:
   

Edit my personal information (member login required for online updates)

 

 


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