NATIONAL COUNCIL FOR HIGHER EDUCATION

2007 – 2008 ASSOCIATE MEMBERSHIP

Please print form or download this form (83k) and return by mail.

Full Name: ____________________________________________________________________

Address: Street _________________________________________________________________
City: ________________________________ State: ______________ Zip: ____________
Is this address your home? ________________ office? __________

Higher Education Institution: ______________________________________________________

Local Association: _______________________________________________________________

Internet Address: _______________________________________________________________

Phone: Office ________________________ Fax ________________ Home __________________

GENERAL INFORMATION (Please check all that apply): Renewing Member New Member $10 Associate(non-voting) Membership(K-12 Member or Staff) Open to any NEA K-12, Student NEA, NEA-Retired member, NEA or affiliate staff who supports the purposes and activities of NCHE Note: Dues payments and contributions are not tax deductible as charitable contributions for federal income tax purposes.
Faculty/K-12 Teacher	Graduate Assistant	Full–time
ESP	Association Staff	Part–time
Academic Professional	Other	Retired
PLEASE MAKE CHECK PAYABLE TO "NCHE"AND MAIL WITH THIS FORM TO:		NCHE Secretary/Treasurer National Education Association 1201 16th Street NW Room 410 Washington, DC 20036-3290