Northern Virginia Council of Teachers of Mathematics

Membership Application for 2007-2008

Name: __________________________________________________________________________

Address: ___________________________________________________________________________

City: _________________________  State: ________                        Zip: ____________________

Home Phone: __________________________            School Phone: _________________________________

E-mail: ______________________________________School Name: ____________________________

School Division:                         Fairfax               Arlington           Alexandria        Falls Church      Private 

Level:    College              High School      Middle School       Elementary          Retired        Student

Are you a member of NCTM?                           Yes                   No

The Northern Virginia Council of Teachers of Mathematics depends on the active participation of its members in order to provide a professional resource for the mathematics educator in the Northern Virginia area.  Please check off any area(s) in which you can contribute your time and talents:

 Committees:                                                      The Exponent:

___Help with the Spring Banquet                        ___ Write articles about math-related topics/events

___Serve on Scholarship Committee                  

___ Serve on Membership Committee   

 ___ I AM INTERESTED IN HELPING IN A LEADERSHIP POSITION

Payment information (please check)

___ $10.00 for one-year membership

_­_­­_  $5.00 for retired teacher

___ Also, I wish to donate an additional __________ to the NVCTM Scholarship Fund

Please PONY or mail completed form along with your check (made out to NVCTM) to

Jen Pierce or Ann Drobnis at TJHSST, 6560 Braddock Road, Alexandria, Virginia 22312. 

You will receive a welcome letter with important dates for the 2007-2008 school

year in the early fall. 

Please keep it as a reference for our activities throughout the year.