Application as of July 1, 2007
MVA Membership Application
MVA is a Non-Profit Organization. The
membership is open to anyone.
Fill out and MAIL your Massachusetts Vocational
Association (MVA) Membership Application TODAY.
You may join the Association for Career and Technical Education (ACTE) with
this application. MVA will forward your dues and information to ACTE.
FIRST NAME: _________________ MI: ____ LAST NAME: _____________________
ADDRESS:
HOME PHONE: (_____)
______-_________ E-mail:
________________________________________
SCHOOL NAME:
______________________ DATE of
APPLICATION: _________________
Check if you are a RENEWAL:
_____ or NEW MEMBER: _____ School Rep.___________________________
Please Select a Field of Specialization
___ ADM Administration ___ NRS
New and Related Section
___ AWD Adult Workforce Development ___ WWL
CBITS
___ AGR Agricultural Education ___ WWB
Cooperative Work Experience
___ BUS Business Education ___ WWC
Instructional Materials
___ TGY Engineering and Technology Ed. ___ WWD Personnel Development
___ FAM Family & Consumer Sciences
Ed. ___ WWH Maker of Policy
___ GUI Guidance and Career Development ___
WWE Public Information
___ HEA Health Science Technology Ed. ___ WWF General and Related Subjects
___ MAR Marketing Education ___ WWG
Research
___ SPE Special Populations ___ WWN
School-to-work/Careers
___ TRA Trade & Industrial Education ___ WWJ
Support Staff
___ WWM Tech Prep
___ WWO Teacher Educator
___ WWI
International
___ WWK Other
Please Select a Job Classification
___ T Teacher ___ E Teacher Supervisor
___ S Student ___ K Counselor
___ B Business Industry Rep ___ R Retired
___ X Teacher Educator ___ O Other
___ A Administrator Supervisor
Please Select Type Membership
___ $ 30.00 - MVA (only)
___ $ 90.00 - ACTE/MVA
___ $ 10.00 - Loyalty (Retired MVA only)
___ $ 41.00 - Loyalty (ACTE/MVA)
___ $ 40.00 - Student (ACTE/MVA)
Purchase
Order: #________ or Check: #________ or Credit/Debit Card:
#____________________
Expiration
Date: ___/___ Name
on Card (Print): _________________________________________
Card
Type: VISA - Master Card - American
Express - Discover
- Other
Mail
application with to: MVA,