MCSS Membership Form
Print Form and send with remittance to:
MCSS, PO Box 2211, South Portland, ME 04116
Membership NEW or RENEWAL - $20Please PRINT
Name_____________________________________________________________________
Home Address______________________________________________________________
City_____________________________________State_______________Zip____________
School____________________________________________________________________
School Address_____________________________________________________________
City_____________________________________State_______________Zip____________
Home Phone______________________________School Phone_______________________
Email__________________________________________Snail Mail to: ___Home ___School
Level: ___Elementary ___Middle School ___Junior High ___High school ___College
___K-12 ___Business ___NA
Position: ___Teacher ___Department Chair ___Supervisor / Coordinator / Director
___Administrator ___Teacher Prep - Elementary ___Teacher Prep - Secondary___Publisher ___Educational Consultant
Interest Area: ___Anthropology ___Economics ___Geography ___Global Studies
___Government ___History ___Political Science ___Psychology / Sociology
___Social Studies