PWSLA 2023-24 Membership Form

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Please submit your membership payment through EventBrite. LINK WILL APPEAR AFTER YOU SUBMIT THIS MEMBERSHIP FORM.

Membership year: September 1, 2023 - September 1, 2024

***PWSLA is a 501(c)(3) organization. Membership dues and scholarship donations are tax deductible.***

Active Membership*
Dues received BEFORE December 1, 2023: $25
Dues received AFTER December 1, 2023: $28

Associate Membership**
Dues received BEFORE December 1, 2023: $10
Dues Received AFTER December 1, 2023: $15

*Active Membership is for those who are currently employed as school librarians in public or private schools located within Prince William County, Manassas City Public Schools, or Manassas Park Public School Systems.

**Associate Membership is for all others interested in libraries; may not vote or hold elected office.

First Name *

Last Name: *

School Grade Level *

Elementary

Middle

High

K-12

Other:

Name of School *

Role in your building *

Librarian

Library assistant

Director

Library student

Other interested party

Are you a member of or will you join the Virginia Association of School Librarians (VAASL) for the 2023 - 2024 Membership Year? *

Yes

Indicate your interest in PWSLA Participation, you may choose more than one:

Professional Development Opportunities

Professional Networking and Collaboration

Social Networking - Holiday get-togethers, Zoom and in-person Social Hours, etc.

Event Information

Professional News about Local Librarians

Interested in learning about PWSLA Executive Board - possibly serving in an elected position

Interested in serving on a PWSLA Committee

Please share ideas about ways PWSLA can support you in your profession:

Work Email Address *

Personal Email Address

Which email do you prefer information from PWSLA to be sent to: *

Work

Home

Both

Cell phone number

We'll use this to add you to our Remind group.

Home Address

Membership Type: *Active Membership is for those who are currently employed as school librarians in Prince William County, Manassas City Public Schools, or Manassas Park Public School Systems. **Associate Membership is for all others interested in libraries; may not vote or hold elected office. *

$25 - Active member BEFORE Dec. 1, 2023 ($28 - AFTER Dec. 1, 2023)

$10 - Associate member BEFORE Dec. 1, 2023 ($15 - AFTER Dec. 1, 2023)

I will be including a donation to the PWSLA Elizabeth W. Bowen Memorial Scholarship in my final total

Required

The total of my payment is (If you are making a charitable donation to the PWSLA Scholarship Fund, add the additional amount, to your Membership Dues.) *

As soon as you hit submit, the link to the EventBrite will appear in your confirmation. Click that link IMMEDIATELY to complete your membership. *

If you do not click the EventBrite link immediately, it will be lost. Please do not fill this form again. Please contact the board at PWSLA.librarians@gmail.com for assistance.

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