Institutional Sponsorship Form

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2015 - 2016
- Institutional Sponsorship An Institutional Sponsorship of $100 per membership cycle [Nov. 1, 2015 through Oct.
31, 2016] is available for Educational Administration / Leadership Departments.
Features of the sponsorship include:
• A single voting representative seat on the OCPEA Board of Directors
• No annual individual membership dues for the institution's Educational
Administration / Leadership faculty*
• No annual dues for the institution's Dean or designee
* Each institution submits a list of its faculty (i.e., full time, part time, adjunct, instructors, etc.)
and dean’s names and email addresses with its Institutional Sponsorship payment. Individuals
listed as faculty on the attached form do not have to submit an individual membership form.
Name of Institution:
Institution Street Address:
City, State, & ZIP:
Board Representative's Name:
Board Rep. Title / Position:
Board Rep. Email:
Dean/Designee Name:
Dean/Designee Title / Position:
Dean/Designee Email:
Remit a check or P.O. for $100, payable to OCPEA, and include a list of department
faculty and their respective email addresses.
Mail to:
Chris Cline
OCPEA Treasurer
7289 Mont Drive
Middletown, OH 45042
2015 - 2016
Name of Institution:
Faculty Member's Name
Add more spaces as needed.
Faculty Member's Email Address
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