New Member

Renewal

Name and Address Information:

*First Name:

*Last Name:

School / Division / Company Name:

*Street Address:

*City:

*Postal Code:

*Telephone # (home):

Telephone # (work):

Telephone # (cell):

Fax #:

Email:

 

Select Membership Type:

Educator 

Community Member 

Student 

 

Please select the category that BEST represents you:

Teacher

School Board Member

Administrator

Parent

Student

Business / Professional Person

Community Service Agency

Other

Superintendent

 

There is no longer a charge to become a member of MSIP.
Effective September, 2009

 

Once you submit this form, a new window will open confirming your application was submitted.