New Jersey Council for the Social Studies Membership Application
Member Information (please type or print neatly)
Name _______________________________________________________ Date
____________
Home Address:
_______________________________________________________________________
City ______________________________
State_________ Zip ______________
Home Phone: _________________________________
County _____________________________________
School Name:
_______________________________________________________________________
School Address:
_______________________________________________________________________
City ______________________________ State_________ Zip ______________
County _____________________________________
School phone: _________________________________________
E-Mail address ________________________________________
Level (please check one)
"Elementary
"Middle/Junior High
"Secondary/High School
"College/ University
"General
Title (please check one)
"Teacher/Instructor
"Chairperson of Department/program
"Supervisor
"Dept of Education/Association
"Agency/Society
"Publisher/Publisher representative
"Consultant
"Student/Student Teacher
"Retired
"Other _____________________________
Dues (please check one)
"1 year $25.00
"2 years .. $40.00
"Retired professional . $10.00
"Student/Education or Social Studies Major .. $10.00
Instructors
signature required
Check One Remittance: Make Check payable to the NJCSS
"Renewal membership Send to: NJCSS
"New membership P.O. Box 1065
Amount Enclosed $______________ Oakland, NJ 07436
Areas of Specialization
"U.S. History
"World and European History
"World Cultures
"Government/Political Science
"Civics
"Sociology
"Anthropology
"Psychology
"Geography
"Geography
"Economics
"Archaeology
"Gifted and Talented
"Advanced Placement
"Basics Skills
"Special Education
"Social Studies K-8
"New Jersey/County/Local Studies
"Global/International Studies
"Multicultural/ Multiethnic Education
"Human Rights
"Law-Related Education
"Values/Moral Education
"Humanities
"Future Studies
"Social Studies Methods
"Teacher Education
"Curriculum Development
"Supervisor of Social Studies
"Research
"Computers/ Educational Technology
"Holocaust/Prejudice Reduction
"Women Studies
"Other_______________________________
Membership
"Check here if you are a member of the NJEA
"Check here if you are a member of the NCSS
"Check here if you would like more information about the NCSS