Group Membership Application

Organizational Information
Organization's Full Name*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Contact Information

This person should be able to receive all inquiries regarding this membership request.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

Roster Information

Note: If the primary contact wishes to become a member, their information must also be added below. For Division information, visit www.exceptionalchildren.org/divisions.
NOTE: If the primary contact wishes to become a member, their information must also be added below.

For Division information, visit www.exceptionalchildren.org/divisions.
Group Membership & Professional Development Package: Member Roster*
Paraeducator Package: Member Roster*
All of the below members are:*

Pre-Service StudentsGraduate Students
Student Group Membership Package: Member Roster*

Final Steps
Please note: this form is not equipped to accept online payments. If you are paying by credit card, CEC will reach out to you before completing your transaction to request payment details.
How will you submit your payment?*

I have a purchase order.I'm using a credit card.I'm submitting a wire transfer.
Note: group membership will not be processed until a purchase order is received.
CEC's Wire Transfer Information:
- Bank Name: Truist
- Bank Address: 3033 Wilson Blvd, Arlington, VA 22201
- Swift Code: SNTRUS3A
- Routing Number: 061000104
- Account Name: Council for Exceptional Children
- Account Address: 3100 Clarendon Blvd., #600, Arlington, VA 22201
- Account Number: 202031322
Please note this information before completing this form. If you need this information again, please contact CEC Member Services at service@exceptionalchildren.org.
Please note: this form is not equipped to accept credit cards, p-cards, or other online payment methods. A member of our team will process your request and then follow-up with you regarding your payment.
File Upload

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Do you have any questions or comments to include with your submission?*

Yes, I do.No, I do not.
How may we be of assistance?
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Group Membership