Membership Form Name* First Last School District or Organization*Position*Mailing Address (Please use school district or organization)* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Membership dues*Learning Forward Nebraska is $25.00I will send my Learning Forward Nebraska dues in with my printed registration form. (You will be emailed a PDF copy of this registration to submit with payment.)My affiliate (state) membership dues were paid with my National Learning Forward membership dues.Opportunities*Please mark all that apply Board of Directors – establishes the vision of Learning Forward Nebraska (LFN). Members have an opportunity to be elected to an officer position (president-elect or secretary/treasurer) or to one of the three members-at-large positions; meets monthly. Nominating Committee – prepares a slate of candidates for upcoming election; meets 1-3 times a year. Collaborative Partnerships Committee – determines programming opportunities that LFN will provide or support as a partner; meets 4-6 times a year. Communication and Connection Committee – promotes awareness of LFN to its members and the statewide audience; meets 4-6 times a year. Membership Committee – works with NCSA to promote and facilitate LFN membership; meets 4-6 times a year. None right now Referred By*CAPTCHA
