Membership Form – Learning Forward Nebraska

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Name*
First Last
School District or Organization*
Position*
Mailing Address (Please use school district or organization)*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Membership dues*
Learning Forward Nebraska is $25.00
- I 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*
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Upcoming Events

NETA Conference
CHI Health Center
Omaha, NE
March 28-29, 2019

Learning Forward Nebraska
Conference and Annual Meeting
LaVista, NE
September 26, 2019

Learning Forward National Conference
St. Louis, MO
December 7-9, 2019

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