
ASCEND Group, Inc.
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Annual Educator Membership for ASCEND Group
*An “Educator” is defined as an employee of a School District, Intermediate Unit, or private school (including religious institution) who is charged with teaching individuals with Asperger Syndrome or other Autistic Spectrum Disorders (ASD) academic, social, religious, or life-skills. For the sake of membership, the term educator also includes individuals employed by the above-listed organizations who are administrators, guidance counselors, or psychologists and who oversee or train those who directly instruct individuals with ASDs.
Name: |
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Address: |
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City: |
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State: |
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Zip: |
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Phone: |
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Email: |
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Additional
Information:
This address is a: ____ Work Address ____ Home Address
My school and/or school district: _______________________________________
Get involved!
ASCEND
Professional Directory
___ Please contact me. I wish to volunteer. ___ Yes, I want to be listed
in the online professional directory.
Dues/Donation |
Amount |
Total |
Educator annual membership: |
$50 |
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Donation: |
Please specify an amount |
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SUBTOTAL |
* An extra donation can really make a difference and could go toward the following: sponsoring a family, contributing to our library fund, paying some of our operating expenses (insurance, mailings, printing, stationery, supplies), and other areas that keep this organization up and running.
Make check payable to:
ASCEND Group, Inc.
Send to: ASCEND Treasurer, P.O. Box 531, Ardmore, PA 19003-0531
ASCEND Group is a
501(c)(3) corporation. Donations are tax deductible and greatly appreciated. The official registration and financial information of
ASCEND Group, Inc. may be obtained from the Pennsylvania Department of State by
calling toll-free, within