Membership application

MTS Spe­cial Area Group of Edu­ca­tors (SAGE)
MSLA mem­ber­ship form (new & renewal)

Your mem­ber­ship in MSLA allows us to main­tain our sta­tus as a Spe­cial Area Group of the Man­i­toba Teach­ers’ Soci­ety which, in turn, allows us to carry on the work of our orga­ni­za­tion as out­lined in the “About” sec­tion of this website.

* please fill out the form com­pletely.
* make out cheque or money order to MSLA.
* mail pay­ment to:

Man­i­toba School Library Asso­ci­a­tion
135 Barker Blvd.
Win­nipeg, MB R3R 2E3

First name

Last name

Address

City

Postal code

Home phone

Work phone

Work fax

Email address (required)

Employer / School Divi­sion

School (Uni­ver­sity / Col­lege if stu­dent)

Has your address changed in the past 12 months? If so, please pro­vide pre­vi­ous address

Has your sur­name changed in the past 12 months? If so, please pro­vide pre­vi­ous sur­name

Are you a mem­ber of the Man­i­toba Teach­ers’ Soci­ety?
 Yes No

Are you a stu­dent teacher can­di­date?
 Yes No

MSLA mem­ber­ship : 1 Sep­tem­ber 2016 to 31 August 2017?
 Yes No

Mem­ber­ship type
 Full ($30) Stu­dent ($10)

I would like to be con­tacted via email for MSLA-related infor­ma­tion
 Yes No

 

This infor­ma­tion will be used for the pur­poses of: pro­cess­ing your appli­ca­tion, to send SAGE related infor­ma­tion to you, mail­ing the SAGE pub­li­ca­tions to you, pro­vid­ing SAGE mem­ber­ship priv­i­leges, renew­ing your SAGE mem­ber­ship, and gen­er­at­ing sta­tis­ti­cal infor­ma­tion related to the admin­is­tra­tion of the SAGE.