2024-2025 Membership Form

Please complete this form AFTER your inaugural meeting. Information collected is for internal use only. FAST TRACK OPTION: Is your information the same as last year's membership form? If yes, indicate your division/district, then skip to the end of the form and provide your contact details before submitting. Otherwise, complete the necessary fields to update.

Membership Information(Required)

Yes, all information is the same as last year.

Division/District(Required)

Office Address

Street Address City/Town Postal Code

Is the mail address the same as above?

Yes

Mailing Address

Street Address City/Town Postal Code

Board of Trustees (PLEASE LIST BOARD CHAIR FIRST)

Full Name

Ward

Telephone (separate by , if multiple)

Click on the [+] icon at the end of the row to expand the list.

Senior Administration

Full Name

Position

Phone

Email Address

Names of superintendent and secretary-treasurer to be listed here. (Click on the [+] icon at the end of the row to expand the list.)

Board Meeting Schedule

Day

Time

Location

Upload any supporting files

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 10 MB.

Board chair news releases, for example.

NOTE: form cannot be re-submitted after it has been sent! Contact Jennifer Esau at MSBA should you need to make changes.

Contact Name(Required)

Name

Person who completed this form.

Email(Required)

E-Bulletin

Acknowledgement

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