K-12 Teachers and Students Membership Fee Waiver Survey

K-12 Teachers and Students Membership Fee Waiver

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K-12 Teachers and Students Membership Fee Waiver

The Linguistic Society of America offers free membership to K-12 teachers and students who are teaching or studying linguistics. Please fill out the form below. PLEASE NOTE: K-12 students must separately send a signed letter from a parent/guardian listing the parent/guardian's full name, phone number, the full name of the student, and a statement saying that they consent to have the student become a member of LSA. Send the letter as an attachment to lsa@lsadc.org with the subject: K-12 PARENT/GUARDIAN CONSENT FORM.

Full name*

First name
Last name

2.	Email address*

3.	Phone number*

4.	I am*

5.	I request a membership fee waiver for the current year on the following grounds:* Please select the option that best describes your situation.
	I am a teacher in a primary or secondary school setting (K-12).
	I am a student in a primary or secondary school setting (K-12).

6.	In 4-5 sentences, please tell us about your interest in linguistics. What course are you teaching/taking? Why do you want to become a member of the Linguistic Society of America?*

With my signature below, I affirm that the above statement is accurate and true. I understand that misrepresentations on this form may result in a loss of the waiver and other such membership privileges as appropriate.

7.	Signature* Type your full legal name.

8.	Today's date*
	mm/dd/yyyy