Join the Toronto of Phi Delta Kappa International

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					                       PDK Toronto - Chapter #85 of Phi Delta Kappa International
                                                                   www.pdk-ut.ca
                                The Leading Association for Educators: RESEARCH * SERVICE * LEADERSHIP
                                                Yes, I want to join the Chapter #85 of PDK International
                                      to stay current and to advocate for public education.

Name _____________________________                                         Member sponsored __ Self-nominated __
(Please print) title + first        middle           last names

Address _________________________________________________________
                   Street                    City                      Province                  Postal code

Phone             Home________________________                  Office ______________________________________
Fax ___________________________                      E-mail ____________________________________________

Please briefly indicate your current area(s) of educational leadership, service and/or research.
____________________________________________________________________________________
____________________________________________________________________________________

Bachelor’s Degree __________________________________ Other degree(s) _____________________
                     Program         Location


CURRENT POSITION (Check off appropriate selection)
TEACHER                        ADMINISTRATOR                                             OTHER
(11)   ___   Elementary                  (21) ___ Elementary                             (3H) __ student teacher
(12)   ___   Middle school               (22) ___ Middle School                          (39) __ Curriculum specialist/counselor
(13)   ___   High school                 (23) ___ High School                            (30) __ Graduate student
(14)   ___   Community college           (27) ___ Asst. Supt./system                     (3A) __ Educational consultant
(15)   ___   Vocational/technical        (24) ___ Community college                      (3B) __ Professional staff: Provincial/
(16)   ___   University                  (25) ___ Vocation/technical                              Federal / Private agency
                                         (26) ___ University                             (3C) __ Business/ Industry
(3E) Other (Please specify) _________________________________                            (3D) __ Retired

Do you currently have a subscription to the KAPPAN journal? Yes __ No __
If yes, what is your KAPPAN account number? _________________________________
Signature _______________________________ Date __________________________

Name of PDK sponsor (if applicable) ________________________ Sponsoring Member ID _ _ _ _ _ _
The sponsor’s name and ID are needed to recognize those Kappans who sponsor candidates for membership.
Orientation to the goals and activities of PDK International will be arranged for all candidates.

Professional - includes Chapter membership
$115 CAD ($112 USD).
                                                              Please bill my credit card in the amount of ___________ USD.
Student Fee - includes Chapter membership
$64 CAD ($61 USD).                                            Please bill my    □ VISA           □ MasterCard
Please make cheques payable to PDK or pay by
                                                                                □Discover        □American Express
credit card. Mail the completed form and fee to
                                                              Credit Card Number:       ________________
PDK Toronto, Membership Chair,
Nancy Nightingale                                             Expiration Date _ _ / _ _ _ _
32 Spruce Hill Road                                           Cardholder’s Name (Please Print):________________________
Toronto, ON
M4E 3G3                                                       Signature:________________________ Date: ____________

TO BE COMPLETED BY CHAPTER
The candidate meets the constitutional and bylaws requirements for admission into Phi Delta Kappa International. I certify that the
candidate was properly oriented to Phi Delta Kappa and participated in an initiation ceremony conducted by the Toronto Chapter
#0085, on the date listed below.
Date of Initiation _____________               Chapter Officer Signature _________________________
                   Month/day/year              (Office held ____________________ Date ______________)
                                Providing Research, Leadership, and Service
                                        PDK Toronto – Chapter 85
                                                  www.pdk-ut.ca




Professional and Undergraduate Student Membership Benefits
A one-year subscription – 10 issues – to the Phi Delta Kappan, the professional journal for
education, and free access to the digital Kappan and selected articles in audio format, both
available on the PDK website (Undergraduate Student Membership gives full access
digitally and not hard copy)
A one-year subscription – 3 issues – to the PDK Connection, the association newsletter.
(Undergraduate Student Membership gives full access digitally and not hard copy)
A one-year subscription – 5 issues – to EDge: The Latest Information for the Education
Practitioner, an in-depth magazine that focuses on cutting-edge information for teachers and
administrators, available free to members in PDF and audio formats on the PDK website
A one-year subscription – 10 issues – to Topics & Trends, practitioner-oriented research
summaries available free to members on the PDK website
A one-year subscription – 5 issues – to Classroom Tips, topical and timely advice for teachers
at all levels, available free to members on the PDK website
Full access to the Publication Archives, including abstracts of all PDK publications and
Kappan articles and PDF and text files of entire Kappan articles from September 1998 to the
current issue
Full access to 39 years of Annual Phi Delta Kappa/Gallup Polls of the Public's Attitudes
Toward the Public Schools
Discounted member rates for PDK's annual summit, professional development opportunities,
and PDK publications
Access to awards, scholarships, and fellowships
An opportunity to be of service to the profession by assuming volunteer leadership roles in the
association

				
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posted:9/11/2012
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