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Membership

Students

Missouri NEA
Student Program
Membership Application

Complete and mail with $17 annual dues to:

Missouri NEA Student Program
1810 East Elm Street
Jefferson City, MO 65101
or
Join Online (preferred method)

Membership includes $2 million liability insurance.

Name:
 

Social Security Number:
 

College/University:
 

Mailing address at college/university:

 

Address to receive mail year-round:
 

 

 

E-mail address (checked regularly):
 

Phone:  (school/cell)                                      (home)
 

Date of Birth:

 

Male

Female

Ethnic Group (Optional)

 

 American Indian/Alaska Native
Asian
African-American
Native Hawaiian/Pacific Islander

Caucasian (not of Spanish origin)
Hispanic
Multi-racial


Graduation date (if known):
 



Student member last year?          Yes                No
 

Membership year September 1 - August 31

Student dues ($17.00) and chapter dues must be paid separately. If paying by check, please make out two checks – one payable to Missouri NEA and the other to the local chapter.

Please note: If you draw a salary or receive a stipend from a school district, you do not qualify for the MNEA Student Program. However, you may qualify for a discounted membership program. Contact Missouri NEA at 800-392-0236 for details.

Make check or money order payable to:
Missouri NEA Student Program
 

 

 

 

 

 

 

 

 

 

 

 
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