Minnesota Community

Minnesota Community

Education Association

2017

Membership Application

mn-mcea.org

MCEA Membership

MCEA memberships are offered to school districts based on their size. A single fee will entitle the district to a certain number of full individual memberships. It is our belief that allocating a fair number of individual memberships through a district wide plan will bring more individuals into MCEA . This should make it easier to identify members of specialized fields within Community Education and it will also encourage greater participation among smaller districts.

Membership Benefits and Services:

Membership Application

Minnesota Community Education Association

Membership Year: January 1 - December 31, 2017

Section I – District Information

District Name:______ISD Number:______Region #: ______

District Population (used in levy calculations)______# of Community Education _____Full-time

_____Part-time

Section II – Director/Administrator Information

First Name:______Last Name: ______Title:______

Mailing Address:______City:______State______Zip______

Phone: Work (___)______Home: (___) ______Fax #(___)______

E-Mail______

Section III - Membership Fees

A. District Membership:

Your TOTAL District The number of memberships Membership

Population you receive Dues

0 - 1,999 2 $0 $______

2,000-4,999 3 $117 $______

5,000-14,999 5 $518 $______

15,000-29,999 7 $738 $______

30,000-49,999 10 $1100 $______

50,000-99,999 13 $1405 $______

100,000+ 17 $1820 $______

Additional district staff members @ $180/unlimited* $180 $______

Advisory Council $100 $______

Joint Literacy Action Network @ $40/add'l per person ** #____ x $40 $______

Joint MnSACA @ $49/add'l per person ** #____ x $49 $______

Total District Membership $______

B. Non-District Membership Options:

Community Educator not affiliated with a school district -$94 $94 $______

Citizen Membership (Students) -$50 $50 $______

Other Educational Institutions (Colleges, Universities, etc.)- $193 $193 $______

Business Partner- $450 $450 $ ______

Lifetime Membership (Retired)-$50 $50 $______

($50 first yr., $5 renewal fee every year thereafter)

Total Non-District Membership $______

SECTION V (Member Forms – copy as needed)

First Name:______Last Name: ______Title:______

Mailing Address:______City:______State____ Zip______

Phone: Work (___)______Home (___)______Fax # (___)______

E-Mail______I want a membership with: LiteracyAction Network: __Yes

MnSACA: __Yes

First Name:______Last Name: ______Title:______

Mailing Address:______City:______State____ Zip______

Phone: Work (___)______Home (___)______Fax # (___)______

E-Mail______I want a membership with: LiteracyAction Network: __Yes

MnSACA: __Yes

First Name:______Last Name: ______Title:______

Mailing Address:______City:______State____ Zip______

Phone: Work (___)______Home (___)______Fax # (___)______

E-Mail______I want a membership with: LiteracyAction Network: __Yes

MnSACA: __Yes

First Name:______Last Name: ______Title:______

Mailing Address:______City:______State____ Zip______

Phone: Work (___)______Home (___)______Fax # (___)______

E-Mail______I want a membership with: LiteracyAction Network: __Yes

MnSACA: __Yes