APDDA Membership Application
2008 MEMBERSHIP DUES
(July 1, 2008 THROUGH June 30, 2009)
If purchased by February 18, member wiil be entitled to membership rates at 2008 conference.
Note: 2007 - 2008 membership will be extended to June 30, 2008
NOTE: THE BELOW NAME, ADDRESS, PHONE, FAX, AND E-MAIL
INFORMATION WILL BE USED FOR PUBLICATION IN THE APDDA DIRECTORY
** Indicates Required Fields
Please Indicate Full, Associate or
Agency Membership
Full Membership includes individual employed at executive
levels of either:
A public or private residential program that has an organization element of providing
care and treatment for persons with mental retardation or other developmental
disabilities, or Individuals who have administrative direction involving
those programs by way of central (governmental) administrative capacity.
Associate Membership includes (a) individuals who have
been former members, or (b) who have a professional or personal commitment
to the purposes of the Association and who wish to have an affiliation with
the Association in a non-voting, non-office holding relationship.
Agency Memberships are available for more than one full
or associate member from an organization. An agency member may specify up
to five individuals for membership benefits.
INSTRUCTIONS:
PRINTED FORM ALONG WITH CHECKS/PURCHASE ORDERS SHOULD BE SENT TO:
Association of Public Developmental Disabilities Administrators
Robert D. Shrewsberry, Ph.D.,
APDDA Administrative Director
Southeastern Virginia Training Center
2100 Steppingstone Square
Chesapeake, Virginia 23320-2519
(757) 424-8379
Fax: (757) 424-8502A
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