NEW ENGLAND ORGANIZATION FOR
HUMAN SERVICE EDUCATION
HUMAN SERVICE EDUCATION
Students - Have you
applied for the NEOHSE
Education Grant? Click
here for more information.
applied for the NEOHSE
Education Grant? Click
here for more information.
NEW ENGLAND ORGANIZATION OF HUMAN SERVICE EDUCATION
MEMBERSHIP FORM
Please make checks payable to NEOHSE and send to:
Millicent Meadows, P.O. Box 374, Hartford, CT 06141-0374
On January 12, 2007, the NEOHSE Board voted to offer a multi-year
membership option to our members. Members may now join for 1, 2 or 3
years, and realize a savings by joining for multiple years. The new terms
of membership/fees are listed below. The membership year is based on
time of joining or renewal (i.e. if you join in April, your membership
expires the following April).
Membership status:
Faculty/Practitioner : 1 year/$30____ 2 years/$55_____ 3 years/$80____
Student 1 year/$7____ 2 years/$12____ 3 years/$18
New Member____ Renewal___
Today’s date_______________
Please print legibly so we have accurate contact information. Thank you.
Name:_________________________________________________________
Street:_________________________________________________________
City, State, Zip:__________________________________________________
Home Phone: ( )______________________________________________
Work Phone: ( )______________________________________________
Preferred Email Address:__________________________________________
School/Organization:______________________________________________
Please contact me about working with the Board by serving on a committee
Federal Tax ID# 04-2711922
MEMBERSHIP FORM
Please make checks payable to NEOHSE and send to:
Millicent Meadows, P.O. Box 374, Hartford, CT 06141-0374
On January 12, 2007, the NEOHSE Board voted to offer a multi-year
membership option to our members. Members may now join for 1, 2 or 3
years, and realize a savings by joining for multiple years. The new terms
of membership/fees are listed below. The membership year is based on
time of joining or renewal (i.e. if you join in April, your membership
expires the following April).
Membership status:
Faculty/Practitioner : 1 year/$30____ 2 years/$55_____ 3 years/$80____
Student 1 year/$7____ 2 years/$12____ 3 years/$18
New Member____ Renewal___
Today’s date_______________
Please print legibly so we have accurate contact information. Thank you.
Name:_________________________________________________________
Street:_________________________________________________________
City, State, Zip:__________________________________________________
Home Phone: ( )______________________________________________
Work Phone: ( )______________________________________________
Preferred Email Address:__________________________________________
School/Organization:______________________________________________
Please contact me about working with the Board by serving on a committee
Federal Tax ID# 04-2711922
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