UHV Education Student Association

Membership Application

Membership Fees: $15.00 per year

Please print (press ctrl + p, or the print button on this form) and return this completed form and your membership fees to the Office of Student Activities and Services, room UW133.

See the membership page for more information and links to the Professional organizations.

First MI Last

Street Address

City State   Zip

Telephone: Home Cell

Email

EDUCATIONAL DATA

Current Status: If you are co-enrolled at UHV and a community college, please check both boxes.
Community College Student
UHV Student
First Year Teacher/UHV Alumnus

Level at which you wish to become certified to teach:

Specialization:

Anticipated Student Teaching Semester

Level:  FreshmanSophomoreJuniorSeniorGraduate
You must also be a student member of one of the four Texas Teacher’s Professional Organizations.
       Check all that apply.
Association of Texas Professional Educators
Texas Classroom Teachers Association
Texas Federation of Teachers
Texas State Teachers Association