subject_line
CPAA Active Membership Application
First Name
*
Last Name
*
Salutation
Ms.
Mrs.
Mr.
Dr.
Home Address
*
Home City
*
Home State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Home Zip Code
*
Phone
*
🛈
Email (Non CPS)
Email (CPS)
CPS ID
*
🛈
Employment Information
School/Office Name
*
School/Office Phone
*
School's CPS Network #
*
Position Title
*
Principal
Assistant Principal
Central Office Administrator
Network Administrator
Director
Chief
Deputy Chief
Resident Principal
Interim Principal
Other (Please provide below.)
Other Position Title
Join Date
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