Join ACSA

Benefits	Regular	Associate	Student	Retired	Retired- Emeritus	School Board Members
Benefits
Membership Rates	Annual salary as of June x 0.009	$250	$125	$125	$700	$1,000
EdCal weekly newspaper (print or digital edition)
Leadership Magazine (print or digital edition)
Discounts on ACSA professional development, up to 50% savings
Knowledge resources and publishing opportunities
Members-only discounts and special offers
Local networking events
Online Career Center
Serve as officers or directors at state, region, and charter levels
Serve as member on state councils and committees
Serve as member on region and charter councils and committees
Serve as officers or directors in charters for retired members
Professional legal assistance
Professional liability coverage
Retirees Interim Job Opportunities

2024-2025 MEMBERSHIP APPLICATION FORM (MONTHLY DEDUCTION ONLY)

Please fill in your name and personal email and click on the "Proceed" button

All fields marked with an * are required.

First Name:^*

Last Name:^*

Personal Email:^*Invalid Email.

2024-2025 MEMBERSHIP APPLICATION FORM

Please complete this form carefully, then press "SUBMIT" to send your application for processing.
The information requested below will remain confidential and will be used for ACSA purposes only. Information will not be sold to vendors or any third parties. - Thank you, ACSA Member Services

All fields marked with an * are required.

Payment Option^*

Self-pay- Payroll deduction

District Paid Benefit

Membership Type

Have you been an ACSA member within the last 12 months? ^*

YES! I have been a part of ACSA family within last 12 months

No!

District:^*

Choose District

What is your job classification?^*

Press or Click to open list, then choose one

Profile Information

First Name:^*

Middle Name:

Last Name:^*

Employee ID:

SSN:^*

This information is used to correctly identify members for payroll deduction purposes and/or avoid duplication.

Birth Year:

Gender:

Choose Gender

Position/Title:^*

If retired, please enter your job title prior to retirement

District:^*

Choose District

School:

Choose School

Ethnicity:

Select All that apply

LGBTQ+:

Choose LGBTQ+

Education Level:

Choose Education Level

Contact Information

Home Address

Address:^*

City:^*

State:^*

Choose State

Zip Code:^*

Home address is used for contact in case you leave the district or retire.

Mailing Preference:^*

Home Address

Work Address

Work Address

Address:^*

City:^*

State:^*

Choose State

Zip Code:^*

Work Address:

District

Work Site

Other

Email

Personal Email:^*

Work Email

Email Preference:^*

Personal Email

Work Email

ACSA Publications^* Preference:

Mail

Decline

If I decline the publications I understand that I will continue to receive communications for membership billing and profile updates

Phone

Home:

Mobile:^*

ACSA may use my cell number to send me SMS Messages. Data rates may apply. You can reply STOP to opt-out of further messaging.

Work:

Social Media

Facebook

Instagram

Twitter

Twitter Handle:

Would you like to volunteer and help shape the organization:^*

YES! I want to volunteer and help shape the organization - tell me how!

No, not right now

Did an ACSA member refer you to join? If so, please tell us who.

First Name:

Last Name:

Did one of our ACSA Membership Recruitment Team reach out to you? If so, please let us know who they are so we can acknowledge them.^*

Choose ACSA Membership Recruitment Team

ACSA Affiliate Membership Opportunity

Check below to become a member in one or more of ACSA's official affiliates:

CA Association of African American Superintendents & Administrators (CAAASA)

Click to Choose Superintendent or Other Admin

National Association of Elementary School Principals (NAESP)

National Association of Secondary School Principals (NASSP)

Total

Other Affiliates

For membership information on CAAPLE or CALSA, Please check the box below and someone from CAAPLE or CALSA will contact you for direct billing.

CA Assoc of Asian & Pacific Islander Leaders in Education (CAAPLE) $125 (Supt/Exec Cabinet) / $75 (Other Levels)

CA Assn of Latino Superintendents & Administrators (CALSA) $300 (Supt) / $250 (Asst Supt) / $200 (Other Administrators)

Check here if you do not wish to contribute $0 annually to ACSA Political Action Committee.

*Contributions to support ACSA’s political activities are not tax deductible. ACSA retains sole discretion over use of member political contributions. Dues may be deductible as business expenses. ACSA estimates that the non-deductible portion of dues allocable to lobbying is 13.3%.

Annual Dues

Dues are prorated for the number of months remaining in the school year for members joining after July (For new members only).

PAC Dues:

Total ACSA Dues:

Total National Dues:

Total Annual Dues:

Signature (Required for payroll deduction)^*

Please fill the captcha^*

^* I agree that my dues will be deducted by my payroll office. This authorization shall be in effect until revoked by written notice from myself or ACSA. I consent to the adjustment of such deduction to reflect any change in the dues of which the payroll office may be advised by the organization.

Before you submit your application, please share with us your overall satisfaction with this application form. If you have specific suggestions about the form, we'd be happy to read them below, or you can send them to us at memberservices@acsa.org.

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It's quick and simple - 5 Stars if you think we did a GREAT job designing a form to help you provide all your important information - 1 Star if you think we could have done better - THANKS!!!

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