The Arts & Learning Special Interest Group
of the American Education Research Association Membership Application

Membership annual dues are $10.00.  (note: membership runs from
April-April, to participate as part of the SIG: A&L program at AERA, you
are expected to be a current member. Please check with Nancy Ellis if you
have any questions regarding your membership status.)
 
 

Name:_________________________________________________________

Address:_______________________________________________________

        __________________________________________________________
 

Office Phone: _____________     Home Phone:_____________________

                                                                E-mail

Address:___________________________________________________________

Highest Degree: _____________ Area(s) of Specialization____________________

________________________________________
________________________________________

Institution/Employer:_________________________________________________

Member of AERA: _______Yes  _______No

Signature (as it appears on your AERA application)

_________________________________________

___ Please enroll me as a member and accept my U.S. $10.00 dues

************************************************************************
Dr. Nancy Ellis, Treasurer
                Arts and Learning SIG
                328 Shore Road
                Burlington, Vermont 05401