NCCEI Membership Form...NCCEI Fall Mini-Conferences, October 2011...CEI - North Carolina Conference of English Instructors

NCCEI Fall Regional Mini-Conferences October 2011:

Membership

NCCEI represents composition, creative writing, film, humanities, literature, and speech faculty in the NCCCS. NCCEI provides a voice and a connection for instructors through its fall conferences, spring regional meetings, and web site. Dues are $15.00 per year for full time faculty and are payable each year any time prior to the fall conference. Adjunct faculty pay no dues but must complete the membership form to receive lower registration fees for NCCEI conferences.

To join NCCEI or to renew your annual membership, please submit this online form and also pay membership dues through PayPal
or mail check made out to NCCEI to:

Alexandra DeSiato, NCCEI Membership Chair
Alamance Community College
P.O. Box 8000
Graham, NC 27253-8000
Email: alexandra.desiato@alamancecc.edu
Courier: 17-49-01
Telephone: 336-506-4205
Fax: 336-578-1987
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Name:

College:

College Address:

City, State, Zip:

Courier No.:

E-mail:

Work Phone:

Home Phone:

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Check One
(Place an "X" in the field of each designation that describes you.)

New Membership:

Renewal:

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Status

Full Time:

Part Time:

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Years of Experience:

In Profession:

At Present College:

In NC Community College System:

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Subjects You Teach

Do you have leadership responsibilities in your department
(department head, lead teacher, coordinator, etc.)?

Security Check:
Enter both words below, separated by a space.

Please print this page after you complete the form for your records
before you send/submit online membership form.

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NCCEI Yearly Membership Dues...
You may pay online through this secure PayPal transaction Link:

Please submit your membership & registration no later than
Saturday, October 1, 2011.

Also submit an online registration form below
with your dues and conference fee.

Click Here For The Online Conference Registration Form

...then pay for conference with PayPal button below:

PayPal: Choose your Mini-Conference Location(s)