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
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Primary Occupation (please choose the one that applies) TeacherAdministrator 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 NativeAsianBlack/African AmericanHispanic/Latin AmericanMiddle EasternPacific IslanderWhite/European AmericanNo Response
Membership Level Choose the desired membership level *Student-$20Basic-$50 Professional Level I-$75**Professional Level II-$100Organization-$200 Lifetime-$550 *The student level requires submission of a current student ID. **Professional Level II requires completion of a criminal history check application and a professional profile application form. These forms will be available for download on the payment page. Click the submit button to go to the payment and form download page.