Member Involvement Form - Maryland State Education Association

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Mobile Phone *

Personal Email *

officer, two interest

Local Association *

If other, specify below:

Race/Ethnicity *

Gender *

Position

How many years have you been in your current position? *

Please list your association involvement (local officer, delegate, building rep, attended MSEA training, etc.)

Are you interested in being considered for appointment to an MSEA committee? *

Click here for descriptions of committees.

MSEA Committee Interest. Appointments are for two years. Please select the committee in which you are interested in being considered for appointment.

Indicate your interest in being considered for other appointments (MSDE workgroups, gubernatorial appointments) *

Are you interested in being considered for the MSEA Minority Leadership/Women's Leadership training cohort?

Click here for a description of the MSEA Minority Leadership/Women’s Leadership training cohort.

Indicate your interest in other appointments/considerations

NEA Conferences
MSEA Conferences
MSEA Training/Professional Development
Serving on a statewide workgroup (these arise occasionally)
Serving on national workgroups (these arise occasionally)
Providing testimony in your area of expertise during the Maryland General Assembly

Areas of expertise. Please indicate the areas in which you have expertise or interest.

Other areas of expertise or interest not listed above.

Would you like to be part of an online community in your area of expertise? *

Are you interested in national engagement opportunities?

Click here for a description of national opportunities.

National engagement opportunities.