Text Box: Method of Payment
 
___Cash  ___ Check

Text Box: Member Number
_____________
 
    __________
                                                                                                 


                     SHENANDOAH VALLEY READING COUNCIL &

                                   VIRGINIA STATE READING ASSOCIATION    

2007-2008 MEMBERSHIP FORM

 

 The VSRA Membership year runs from September 1, 2007 – August 31, 2008

  Please print LEGIBLY and provide all information requested to insure that you receive all local council and VSRA mailings.

 

Date_______________________________

 

Last Name____________________________________ First Name______________________ Middle Initial____

 

Home Address _________________________________________________________________________________

 

City, State, Zip _______________________________________________ Home Phone _______________________

 

School Division/University___________________________ School____________________ Position____________

 

E-mail______________________________________________________ Work Phone________________________

 

Name of Council you are joining         Shenandoaoah__________________          New Member                 Renewing Member

MEMBERSHIP DUES ENCLOSED:

q       Professional Member ($20.00)

q       Full-time student (Graduation Date:  __________________) ($10.00)   

q       Paraprofessional/Retired Professional ($10.00)   

q       Secondary Reading Council (for an additional $5.00)

                I wish to join the Secondary Reading Council for an additional $5.00

International Reading Association Member?       Yes                No           If yes, list IRA Membership # _________________

Would you like information about the International Reading Association:             Yes                No

Make Checks out to SVRC  and send to:

                    Tonya Kay Jones

                Shenandoah Valley Reading Council Membership Chair

                625 W Parklin Dr

                Covington, VA 24426

e-mail address: tk226teach@aol.com (Please indicate that the e-mail is in reference to SVRC)

 

Please check local council areas of interest:

____ Adult Literacy                     ____ Books for Babies                ____ Honor Merit                               ____ Membership

____ International Literacy         ____  Legislation                         ____  Newspapers in Education        ____  Publicity

____ Parents in Education           ____  Student Membership        ____  Studies and Research                ____ Valley Voices

____ Teacher of the Year             ____  Technology                      ____ Teacher as Readers                    ____ Young Author

____ Virginia Reader's Choice

 

q       I am willing to be a “Building Contact Person” to help disseminate notices to coworkers

 

The Shenandoah Valley Reading Council (SVRC) covers the counties of Alleghany, Augusta, Bath, Highland, Page, Rockbridge, Rockingham, and Shenandoah,
 as well as the cities of Buena Vista, Clifton Forge, Covington, Harrisonburg, Lexington, Staunton, and Waynesboro.

Since all teachers teach reading throughout the day, we have members from all subject areas.