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M.A.G.E. Membership Application

Massachusetts Association for Gifted Education is a non-profit organization of parents, educators, and other individuals who wish to foster the growth and development of gifted and talented individuals in Massachusetts.

Membership includes:

  • Networking opportunities

  • Newsletters and notices

  • Professional Development Directory

  • Conference and activity discounts

  • Voting participation in M.A.G.E.

    Name__________________________________
    email_________________________________
    Phone(day)____________________________
    Phone(eve)____________________________
    Parent__ Educator__ (School:_________)
    Gifted Consultant__ Other_____________

    Spouse/Partner________________________
    email_________________________________
    Phone(day)____________________________
    Phone(eve)____________________________
    Parent__ Educator__ (School:_________)
    Gifted Consultant__ Other_____________

    Address_______________________________
    ______________________________________
    ______________________________________

    What I would like from MAGE:
    ______________________________________
    ______________________________________

    May we share your name, address, and phone number with other M.A.G.E. members? __yes __no

    (Optional) Parents, please provide the following information about your children for internal planning purposes:

    Birth Month/Year Gender
    #1 __/___ ___   #3 __/___ ___
    #2 __/___ ___   #4 __/___ ___
    #5 __/___ ___

    		•

    Date: _______________________ Membership: New___ Renewal___

    Volunteering with M.A.G.E.

    I/we would like to assist with:
    Membership
    ___Founding a local chapter
    ___Responding to new members

    Programs
    ___Planning
    ___Academic Competition
    ___Grant Writing

    Advocacy
    ___Advocacy Assistance
    ___State Lobbying
    ___Federal Lobbying

    Communications
    ___Newsletter
    ___Policy Statements
    ___Publicity
    ___Web Site
    ___Database and Software

    Leadership
    ___State/Regional(within state)
    ___Other:______________________


    Enclosed is my tax-deductible check
    payable to M.A.G.E. for:
    Individual:     $35
    Family:         $50
    School/Group:  $100
    Supporter:    _____

    School/Group members constitute one voting membership, but are eligible for five newsletters and discounts. Please provide school name: ________________

    Mail membership application with check payable to:
    M.A.G.E.
    P.O. Box 1265
    Barnstable, MA 02630-2265

    Questions or Concerns?
    Call MAGE at: 1-781-394-5526

    ©2005 Massachusetts Association for Gifted Education