2024 MASL Membership Form

Name*

Email*

Email Confirmation*

Phone Number*

Mobile Phone Number*

Membership (Select one)*

Renewal
New Member

Were you referred by someone?*

If so, by who?

Other Memberships you hold (Check all which apply)*

ALA
AASL
ISTE
MACUL
MLA
MRA
NONE of the ABOVE

Would you like to be added to the MASL LISTSERV?*

YES
NO THANKS
I am currently subscribed to masllist

Contact Information (Published in the Directory)

This Address is my*

My WORK information (Recommended)
My HOME information

Published Address*

School or Building Name:*

Phone Number (with extension if necessary)*

Secondary Contact Information

This unpublished information will only be used to contact you if your listed contact information becomes unavailable.

Unpublished Address*

Email address NOT connected with your work.*

Professional/Educational Information

STATUS: Please select all which apply:*

Working
Student

If you select STUDENT membership, enter the school and program in which you are enrolled:

Retired

Employer:*

Job Title:*

Michigan County where Employed:*

MASL Regions are based on the Michigan COUNTY where you work. If you don't know your region, it can be found on the MASL website (copy/pastet the address): http://www.mimasl.org/region-information.html*

Area of Responsibility:

Area of Responsibility-check as many as apply*

District Supervision
Elementary
Middle School/Junior High
High School
Multi-Level Assignment
College/University
ISD/REMC/RESA
College Student
Classroom Teacher
Public Library
Commercial
Retired

Michigan Educational Endorsements held:

Michigan Educational Endorsements: Check all which apply:*

ND-Library Media
NP-Educational Technology
NR-Computer Science
BX-Language Arts- Elementary or Secondary
BA-English
BR-Reading Specialist
None of the Above

Other Michigan Endorsements held*

Advanced Degrees held*

Membership Fees

Membership Fees*

Regular Member, ($60.00)
Student ($25.00)
Must be enrolled in an accredited Library Science course (limited to 5 total years)
Retiree ($30.00)
Retired Lifetime Member ($150.00)
This is a one-time payment and includes membership in MAME4ever, the lifetime retirees SIG.
Paraeducator ($30.00)
Lifetime Retired* ($0.00)
*Has previously paid lifetime retired fee of $150-just to keep up to date information for the organization

Special Interest Groups

SIG memberships must be renewed every year. It is possible to join more than one SIG. Membership fees are $2.00 each. Check each box for the SIG you wish to join.

SIG EL ($2.00)

Elementary

JHMS ($2.00)

Junior High/Middle School

HS ($2.00)

High School

IB ($2.00)

International Baccalaureate

MAMSA ($2.00)

Multi-Assignment School Librarians and Media Administrators

PPIC ($2.00)

Private, Parochial, Independent, Charter Schools

MAME4ever

Open to retired members at no charge who have paid the one-time Retired Lifetime membership fee.

TOTAL

$0.00

Billing Information

Name*

I am representing an organization

Payment Method

Credit Card
Payment by check.

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

Phone Number*