NATIONAL COUNCIL FOR HIGHER EDUCATION

2007 – 2008 INDIVIDUAL 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 $24 Individual (voting) Membership(Higher Education Employee) Open to any NEA member employed at an institution of higher education, on leave from or actively seeking employment at such an institution, and NEA-Retired whose primary employment was in higher education. Note: Dues payments and contributions are not tax deductible as charitable contributions for federal income tax purposes.
Faculty/K-12 Teacher	2–year Higher Ed	Full–time
ESP	4–year Higher Ed	Part–time
Academic Professional	Other	Retired
Graduate Assistant
Association Staff
Other
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