Form

Full Name*

First Name Last Name

Position/Title*

Check all that apply:*

Certificated Non-Certificated Public School Charter School Private School Approve/Sign Work Permits Prepare Work Permits Administrator Other

If you clicked "Other", please describe:

School/Business Name*

Work E-mail*

Work Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Work Phone Number*

- Area Code Phone Number

Extension

Ext.

Home E-mail*

Home Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone Number

- Area Code Phone Number

Would you be interested in participating on a CAWEE committee or E-Board activity?

Yes Not at this time Maybe, give me a call

Type of Membership*

New Renewal Lapsed Life/Honorary Member

Payment by:*

Credit Card Check

Pay by Credit Card: Membership Fees Select One (1)

2012/13 Regular Member - Certificated or Management: Those who have responsibility for administration, organization and/or operation of Work Experience Education, career education and/or work-based learning programs $75.00 USD
2012/13 Business Member - Representatives of companies who are actively engaged in, or interested in Work Experience and Career Education $75.00 USD
2012/13 Associate Member - Those who are non-certificated and who have a responsibility within a work-based learning program (non-voting member) $37.50 USD
2012/13 Retired Member - Educators who have retired from full-time teaching. $37.50 USD
2012/13 Life/Honorary Member - Restricted to Legacy Members, CAWEE Past Presidents. Life Members must renew their membership each year. $ Free USD

Payment by Check: Membership Fees Select One (1)

2012/13 Regular Member - Certificated or Management: Those who have responsibility for administration, organization and/or operation of Work Experience Education, career education and/or work-based learning programs $75.00 2012/13 Business Member - Representatives of companies who are actively engaged in, or interested in Work Experience and Career Education $75.00 2012/13 Associate Member - Those who are non-certificated and who have a responsibility within a work-based learning program (non-voting member) $37.50 2012/13 Retired Member - Educators who have retired from full-time teaching. $37.50 2012-13 Life/Honorary Member - Restricted to Legacy Members, CAWEE Past Presidents and Honored Members. Life members must renew their membership each year. No Charge/Free Membership

To pay by personal or district check , click on the Submit button. A copy of your Membership Application will appear immediately. Print and mail it with your check to: CAWEE 3410 La Sierra Avenue, #F1104 Riverside, CA 92503. (You will be redirected to the PayPal page but you will ignore it.)

If paying by personal credit card , click on the Submit button to be redirected to the PayPal site. You do not need a PayPal account to pay by credit card. PayPal will generate and email a receipt of payment to you immediately upon making payment. Paying by PayPal greatly simplifies our membership and registration system. Thanks for using it.

If paying by District credit card , DO NOT CLICK ON THE SUBMIT BUTTON.
Instead, after completing this form, PRINT it out and take it to your District Office so that they can complete the form, Hit Submit, and make payment using their credit card. PayPal will generate and email a receipt of payment to the registrant immediately upon making payment.

Thank you! Welcome to CAWEE 2012-13!