OCHEA MEMBERSHIP APPLICATION 2012 - 2013 Membership Year: July 1, 2012 to June 30, 2013 Type of Membership1 Institutional ($150) Associate ($35) Individual ($55) Affiliate ($50) Member Information (please print) Name Title Institution Business Address City State Zip Phone County Fax Email Office/Institution Website Institution Type: Branch/Regional Campus Private College/University Technical/Community Public College/University Adult/Career Center OCHEA Committees Yes! I want to get involved. Please contact me about serving on the following committee(s): Constitution & Bylaws Conference Nomination & Elects Professional Development Day Membership Awards & Honors 1 See categories of membership (attached sheet) for details. Institutional Members Please list your Institutional representative and your additional 3 affiliate members. Additional space has been provided if you are enrolling more than 3 affiliate members. Name Title Email Payment ___ Enclosed is my check/MO for $ ________/Check #: ________ (Payable to OCHEA) ___ Purchase Order # ______________ Send invoice to: _____________________ Address: _______________________ City/State/Zip: _______________________ Credit card payments can only be made on the OCHEA website. Return this application and dues payment to: OCHEA – Membership c/o Brenda Latanza, Workforce Development Sinclair Community College 5386 Courseview Drive Mason, Ohio 45040-2362 Membership Categories (from OCHEA Constitution) Section 3. Institutional Membership 3.1 Applications for Institutional membership are accepted from not-for-profit, Ohio higher education institutions engaged in continuing education, which shall be defined as public universities, regional branch campuses, private colleges and universities, community colleges. In addition, adult workforce career centers are also eligible for institutional membership. 3.2 Application for Institutional membership shall be accompanied by the annual institutional dues. 3.3 Membership entitles the institution to designate one (1) official representative to serve as the main point of contact with the Association and three (3) associate members. All representatives shall be eligible to hold office in the Association and to vote. Section 4. Associate Membership 4.1 Applications for Associate membership are accepted from Continuing Education professionals and other persons with continuing education program responsibility employed by Institutional members of the Association, as well as from graduate students from member institutions enrolled in an Adult/Higher Education program or affiliated with a Continuing Education Department. 4.2 Applications for Associate membership must identify Institutional representative when completing the membership application. Membership coordinator will verify institutional representative when needed. 4.3 Associate Membership entitles the individual to hold office in the Association and to vote. Section 5. Individual Membership 5.1 Applications for Individual membership are accepted from Continuing Education professionals and other persons with continuing education program responsibility as well as from graduate students from member institutions enrolled in an Adult/Higher Education program or affiliated with a Continuing Education Department. 5.2 Individual Membership entitles the individual to hold office in the Association and to vote. Section 6. Affiliate Membership 6.1 Applications for Affiliate membership are accepted from non-profit or public agencies/departments, associations, and organizations with an interest or current activities in continuing higher education. 6.2 Affiliate Membership entitles the individual to serve on committees and vote in committee meetings.