SLINGERLAND® MEMBERSHIP APPLICATION
Please fill out the membership form below and click the submit button to go to the payment page.
New Membership
Renewal
Upgrade
Name
Address
City
State
Zip
Email Address (H)
Email Address(W)
Website
Primary Occupation
(please choose the one that applies)
Teacher
Administrator
Language/Speech Therapist
Educational Therapist
Medical
Psychologist
Tutor
Parent
School
Tutoring Center
Organization
Other
If you selected "other", please describe:
Demographics
(Optional)
Male
Female
Do Not Wish to Provide
Ethnicity
(The Institute is required to submit this information for tax purposes)
Choose the one that most closely represents your ethnicity
American Indian/Alaska Native
Asian
Black/African American
Hispanic/Latin American
Middle Eastern
Pacific Islander
White/European American
No Response
Membership Level
Choose the desired membership level
*Student-$20
Basic-$50
Professional Level-$75
**Certified Professional Level-$75
***Organization-$200
Corporate-$300
Lifetime-$750
*The student level requires submission of a current student ID.
**Certified Professional Level requires submission of a criminal historay along with completion of a professional profile application form. Upon request, the Institute will conduct the background check -- additional fees apply and will be collected upon receipt of the criminial history background check form. These forms will be available for download on the payment page.
***Available to organizations that incorporate the entire instructional format of the Slingerland® Approach as part of their teaching (includes 1 professional or certified professional level mebership (**must meet the requirements for Certified Professional Level).
Click the submit button to go to the payment and form download page.
Slingerland® Institute for Literacy
12729 Northup Way, Suite 1
Bellevue, WA 98005
P: (425) 453-1190 - F: (425) 635-7762
E-mail:
mail@slingerland.org