MEMBERSHIP APPLICATION SWADE Southwest Association for Developmental Education
Membership Status: (Circle One)			Renewal/Returning Members:
New Membership	Renewal Membership	Returning Membership	Please include any changes to your contact information.
Last Name			First Name
Title			Department
Discipline			School/College/University
Mailing Address			City/State/Zip Code
Home Address			City/State/Zip Code
Office Phone			Other Phone
FAX			Email
Are you being sponsored for membership by a current member of SWADE? If yes, who is the sponsoring member?
Are you a member of NADE (The National Association for Developmental Education)?
Are you interested in volunteering in SWADE? E.g., running for office, reading conference proposals, etc…

The annual membership dues for SWADE :

· $10.00 for Students

· $20.00 for Professionals

Signature: Date:

Make checks payable to SWADE. SWADE cannot accept Purchase Orders or Credit Cards for Payment. Please send a check for $20.00 and this application to:

Victoria Gonzalez (SWADE Treasurer)

Dona Ana Community College

MSC 3 DA, P.O. Box 30001

[3400 South Espina Street]

Las Crues, NM 88003-8001

(575) 527-7624

FAX (575) 527-7686

toriag@nmsu.edu