2019-2020 MRID Membership Application

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Whether you are a new member or you are renewing your membership, please fill out this application to help us ensure accurate records, thus allowing us to keep you informed on all things MRID. If you mail in your payment, go ahead and fill out this form and you will select that payment option at the end. Membership dues are $25 for the year, unless you are an ASL or ITP student and it is $15 for the year. Checks should be made PAYABLE to MRID and MAIL to our Treasurer at:
1150 34th Street #11A, Missoula, MT 59801

Name/ Organization Name *

Street address *

City *

State *

Zip *

County *

Mobile number *

Opting in for mobile text Remind? *

Yes

Personal E-mail *

(Please list your personal e-mail address to ensure delivery of MRID e-mail notifications and to avoid any issues with employer spam filters.)

Work email

What contact info are you willing to share with our members for networking purposes? (accessible via the members-only login access)

Name

City, State

Phone Number

Do you use Facebook? *

Yes, and I'm fairly savvy about it.

Yes, once in awhile.

Well...I try to, but I'm not on very often or I don't feel skilled using it.

No, and I don't care to.

Did you know about our members-only Facebook group for networking? *

(If you answered "no," you know now and you should totally check it out. If you don't know how, ask a Board member.)

Yes

Did you attend an Interpreter Training Program (ITP)? *

Yes

If yes, where did you attend and what degree did you obtain?

How are you affiliated with the Deaf community? *

Interpreter

CODA (Child of a Deaf Adult)

SODA (Sibling/Spouse of a Deaf Adult)

Parent of a Deaf child/adult

Teacher of the Deaf (ToD)

Deaf/Hard of Hearing (D/HH)

Student

Relative of Deaf child/adult

Other profession working with D/HH people

Coworker of D/HH adult

Required

Work setting *

K-12

Post-secondary

Community

Other:

Required

Are you a current member of RID? *

Yes

If yes, what is your RID #?

(Required for dual membership rights.)

Do you hold a certification from RID (generalist or specialist)? *

Yes

If yes, what is your RID certification?

***Note: the EIPA is not a certification***

What is your EIPA status? *

I've passed the written and scored at or above the state's policy of 3.5 on the performance assessment.

I've passed the written, but haven't met the 3.5 for the performance.

I've not passed either the written or performance.

I've taken the written and passed, but am waiting to take the performance.

I've not taken either, but plan to take both.

I've not taken either, and don't need to because I don't serve K-12.

I'd rather not say.

Other:

MRID only operates because of volunteers giving of their time and talent. In what ways are you willing and able to support the profession?

Help out at a special event

Serve on a committee

Attend board meetings (remotely or in-person)

Answer short member surveys

Donations (financial or silent auction items)

Serve on the Board

Other:

I am paying for my membership dues by *

Paying in-person

Mailing in a check

Clicking on the PayPal button on the MRID website for electronic payment processing

Other:

Submit

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