(Complete this form and deliver to Marian Ashton, Resource and Referral Office, Jordan Hall, 3rd Floor)
ECHO
Membership Information
Name (please print) ________________________________________
Email Address ____________________________________________
Primary Phone ____________________________________________
Secondary Phone __________________________________________
Address _________________________________________________
City ____________________________ State ______ Zip _________
Major:
¨ Early Childhood
¨ Special
Education ¨ Counseling
¨ Other (please indicate) ____________________________________
Anticipated year of graduation: ________________________________
What areas of interest would you like to see as a focus of
our ECHO meetings (please check all that apply):
¨ Creative activities
¨ Curriculum development
¨ Behavior management
¨ Literacy advocate
¨ Other (please indicate): ____________________________________
Dues are $10 per year / $5 per semester. Please make your tax
deductible check payable to ECHO. Mail / deliver to Marian Ashton, Jordan Hall,
Room 325.