MASBA Membership Intake Form

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Communication is a priority for MASBA. Please complete the following form so that we may effectively communicate with MASBA Members and share all pertinent information, opportunities, and organization benefits. If there are any questions, please email Dr. Mary Gonzalez at mary@masbatx.org.

School District Name

School District Size (invoice will be sent once form is submitted)

District with less than 1,000 students ($500)

District with 1,000 to 4,999 students ($750)

District with 5,000 to 9,999 students ($1000)

District with 10,000+ students ($1,500)

Education Service Center Membership ($1,000)

Individual Superintendent or Trustee Membership ($300)

Clear selection

Primary District Contact Name and Title

Primary District Contact Email

Primary District Contact Phone Number

Superintendent Email

Primary Contact for Scholarship Information (name)

Primary Contact for Scholarship Information Email

Board Members Email (please provide all addresses so we may share important information)

Which ESC is your district apart of?

Are there any social media accounts you would like for us to link, follow, and uplift?

Do you have any questions regarding your MASBA membership?

Submit

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