2024 ALET Membership Application

Year*

2024

Member Status*

Employment Status*

EmployedRetiredOther

Title*

Name*

First NameLast Name

Email*

example@example.com

Region*

Lookup at https://www.go-alet.org/alet-regions/

Employer*

Employer Name*

Work Phone*

Area CodePhone Number

Cell Phone

Area CodePhone Number

Job Title*

Are you the System Technology Director?*

YesNoN/A

How many years experience do you have as Tech Director?*

Please enter years completed. You may use decimals for partial years, especially if you have not completed a full year yet. (Ex. .5)

Work at*

Tech Director Email

example@example.com

Primary Focus*

AL-TIC Certification*

GraduateCurrent CohortNot Applicable

AL-CTO Certification*

GraduateCurrent CohortNot Applicable

Membership Plan*

Will pay by*

Credit/DebitPOPersonal Check

Billing email*

PO#

How many members will be on this PO?

Employer Website*

Do you want to be added to the PowerSchool listserv?*

YesNo

Do you want to be added to the Education listserv?*

YesNo

Retired From*

Are you currently providing contracted services, including consulting, to one or more public school systems?*

YesNo

Explain services

Do you sell or plan to sell or market products or services to one or more public school systems?*

YesNoMaybe

Why are you requesting membership?*