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SEVA NBCT Regional Network Membership 2022
Complete this form & submit with dues to be an active member of SEVA NBCT Regional Network through December 31, 2022. Please use the link provided to pay your membership dues ($35) with PayPal or mail a check to the address provided.
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Email
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Your email
Last Name
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First Name
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Preferred Email
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Alternate Email
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School Division
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School (type "N/A" if not applicable)
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Home Street Address 1
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Home Street Address 2
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Home City
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Home State
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Home ZIP
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Work Street Address 1
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Work Street Address 2
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Work City
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Work State
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Work ZIP
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Preferred Phone Number
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Membership Type Requested
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FULL: Full members must have achieved NBCT status and either live or work in Region 2 as defined by the VA Department of Education. Only full members may vote on SEVA business.
AFFILIATE: Any individual not qualified for full membership, but who would like to support SEVA's goals, may become an affiliate member.
If you wish to be a FULL member, indicate the VDOE Region 2 School Division in which you live or work. AFFILIATE membership applicants, select "N/A".
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N/A (not applicable; only select for affiliate memberships)
Accomack County
City of Chesapeake
City of Franklin
City of Hampton
Isle of Wight County
Williamsburg/James City County
City of Newport News
Northhampton County
City of Norfolk
City of Virginia Beach
York County
City of Suffolk
City of Portsmouth
City of Poquoson
Southampton County
If you wish to be a FULL member, indicate the year of your initial certification. AFFILIATE membership applicants, select "N/A".
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If you wish to be a FULL member, indicate the most recent year that you renewed your certification, if any. AFFILIATE membership applicants and current NBCTs who have not renewed, type "N/A".
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If you wish to be a FULL member, indicate your current certificate area. AFFILIATE membership applicants, type "N/A".
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Paypal payment or check. Copy and paste this link and open in a new window to pay for your membership AFTER YOU SUBMIT this form.
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=6QPY9MQDLWUNQ
or mail a check to Nancy Owens, SEVA Treasurer, 1032 Cuervo Ct., Chesapeake, VA 23322
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