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Membership Enrollment

Please complete all of the fields below. Fields with an "*" are required.

For problems enrolling or paying online, contact the MAE Secretariat, Jacquie Lafay, at Public Sector Consultants, by phone at (517) 484-4954 or by e-mail at info@maeeval.org.
First name: *  
Last name: *  
Title:  
Organization: *  
Address: *  
   
City: *  
State: *  
Zip: *   (5-digit zip code only)
Daytime phone: *  
Fax:  
E-mail: *  
 
Please indicate the area(s) in which you have expertise.
Case Study Psychological Test/Measurements
Cluster Evaluation Qualitative/Ethnographic Research
Focus Groups Quantitative Research
Formative Evaluation Statistical Analysis
Market Research Summative/Impact/Outcome Evaluation
Needs Assessment Survey/Questionnaire Design
Participatory Evaluation    
 
Other, please specify: 		   
 
       
What are your primary area(s) of expertise?
 Arts and Culture  Library Services/Management
 Child Abuse and Neglect  Literacy
 Communications  Mental Health
 Community/Rural Dev.  Organizational Development
 Corrections and/or Juvenile Justice  Philanthropy/Volunteerism
 Disabilities Issues  Public Policy
 Domestic Violence  Race/Ethnicity
 Economic Development  Urban/Regional Planning
 Elderly Issues/Gerontology  Strategic Planning
 Environmental Issues  Substance Abuse
 Food Systems/Agriculture  Water Resources
 Families/Neighborhoods  Workforce Development/Training
 Gender Issues  Youth Concerns
 Health  Youth & Education
 Higher Education  Youth/Education: Child Development
 Human Resources  Youth/Education: Elementary Education
 Information Services  Youth/Education: Science Education
 Leadership  Youth/Education: Secondary Education
   
Other, please specify: 		   
 
   

Membership type: *

  
The default membership type is "regular" and has been pre-selected for you, if you wish to enroll with a different membership type, you may do so below.
Regular ($60) Please check this box if you are renewing a membership.
Student ($20)
Organization ($400)
 
If you have selected the "organization" level of membership, please provide a name and e-mail address for each additional member associated with this membership (limit to 10 including primary enrollee). For those wishing to enroll more than 10 individuals with their organization membership, please contact the MAE secretariat.



Method of payment: *
The default method of payment is credit card, if you prefer to pay by check please select the check option below.
Check (by mail)  
Credit Card or PayPal (online)  
       

Please take a moment to review the information you are about to submit and verify that required information (i.e., first name, last name, address,etc.) has been provided. Also check that the correct type of membership and method of payment are selected. Thank you!