Membership Application WISCONSIN ASSOCIATION FOR CAREER AND TECHNICAL EDUCATION 2307 Parmenter Street Middleton, WI 53562 608-833-5858 Fax: 608-833-3011 E-mail: wacteorg@chorus.net Please complete all information requested below and return the original copy to the WACTE office. (Please print or type.) Payment Last Name First Name Mailing Address City Email Employer Work Telephone (include area code) Ext. Home Phone (include area code) Recruited by Today’s Date Middle Initial State Zip How many years in career and technical education? Signature WACTE Membership Type (check only one) WACTE Standard $90 Available to all professionals in education, business and industry or institutions interested in the mission of the association. WACTE Associated $74 Available to: Support staff and maintenance workers employed full-time or part-time; and Instructional staff employed half-time or less WACTE Loyalty $58 Available to individuals who have been members for at least one (1) year and are retired. WACTE Student $50 Available to individuals who are enrolled as students preparing for careers in technical education and who are not employed full-time in technical education. National Dues-Optional Local Association ACTE Loyalty $31 (+State Dues) Available to individuals who have been ACTE members for at least one (1) year and are retired. Contributions or gifts to the Wisconsin Association for Career & Technical Education are not deductible as charitable contributions for federal income tax purposes. However, dues payments are deductible by members as an ordinary and necessary business expense. Dues Summary WACTE Dues $ Local Association Dues ACTE Dues $ $ $ $ Professional Setting (check only one) ACTE $80 (+State Dues) Add ACTE Div Dues Total Remittance Check Enclosed Purchase Order (must be attached) (check only one) 01 - Blackhawk ACTE (BACTE) 02 - Chippewa Valley ACTE (CVACTE) 03 - Milwaukee Vocational Association 04 - Lakeshore ACTE (LACTE) 08 - WI Business Education Association 09 - Western Wisconsin ACTE (WWACTE) 10 - WCTC – WACTE 12 - WI Association of Vocational Special Needs Personnel 13 - NEW – ACTE 14 - Fox Valley ACTE (FVACTE) 15 - Mid-State ACTE (MSACTE) 16 - Northcentral Vocational Association 17 - Moraine Park ACTE (MPACTE) 18 - WTCS/UW-Madison/DPI 20 - Gateway ACTE (GACTE) 21 - Southwest WACTE (SWACTE) 22 - WI Indianhead Association for Voc/Tech Education 23 - Nicolet ACTE (NACTE) 24 - Wisconsin Association of Agricultural Educators (WAAE) 25 - Stout Community ACTE (SCACTE) 27 - WACTE – MATC Madison 28 - Wisconsin Association for Leadership in Education and Work (WALEW) Position Code (check only one) A – Administrative / Supervisor E – Teacher / Supervisor T – Teacher K – Counselor S – Student X – Teacher Educator R – Retired O – Other:____________________ WACTE USE ONLY Date Check # Amt. Trans. S – Comprehensive High School H – Junior High/Middle School J – Two-Year Post-Secondary Institution C – Four-Year College or University D – Federal, State or Local Education F – Other L – Local School System V – Secondary Career/Technical School R – Retired ACTE Division Affiliation (check only one – if additional divisions $10 each) ADM – Administration AGR – Agricultural Education AWD – Adult Workforce Development BUS – Business Education CAR – Career Academy FAM – Family & Consumer Sciences Ed. GUI – Guidance & Career Development HEA – Health Science Technology Education MAR – Marketing Education SPE – Special Populations TGY – Engineering & Technology Education TRA – Trade and Industrial Education New & Related Services WWB – Cooperative Work Experience WWC – Instructional Materials WWD – Professional Development WWE – Public Information WWG – Research WWH – Makers of Policy WWI – International WWJ – Support Staff WWK – Other ____________________ WWL – Integration of Academics & Career & Tech Ed WWM – Tech-Prep WWN – School to Work/Careers WWO – Teacher Educators WWP – Safe Schools WWR – ROTC WWS – Information Technology