Kansas Association of Educational Office Professionals
Membership Application

 

July 1, 20_____ to June 30, 20_____                                          Member: $20.00      Retired Member: $10.00

___________________________________________________________________________________________
   Last Name                                                       First Name                                 MI                                        Spouse's Name

Employer (Office or School) ___________________________________________________________________

Position ___________________________________________________________________________________

Address: Home ____________________________________ City______________________ Zip____________

              Work _____________________________________ City______________________ Zip____________

Telephone: Home _______/_____________________________ Work ______/___________________________

Name of Local Association ____________________________________________________________________

NAEOP Member: Number of Years_______ PSP Certificate________ In Progress______

KAEOP Member: Number of Years_______ New_______ Renew_______ Amount Enclosed $_____________

Would you be interested in serving on a committee? Yes_____ No_____ Nominated for Office: Yes____ No____

E-Mail Address _______________________________________________________________________________

Send this membership form and check (payable to KAEOP) to:

Gwen Kramer
Membership Chair
4304 Clark Rd.
Meriden, KS 66512
E-Mail Address: gkramer@ksde.org
Work telephone #: 785-296-7795
Cell Phone #: 785-224-6219