Music Educators Association
of New York City

Please print out form and mail to
MEANYC Membership
c/o Jeffrey Lance
Hillcrest High School
160-05 Highland Avenue
Jamaica, NY 11432

Personal Information
Salutation First Name Last Name
Home address
City State Zip Code
Home Telephone
Cellular Telephone
Personal Email
Dept of Education Email @schools.nyc.gov

Membership Category: Educator ($25) Student ($10) Retired ($15) School/Corporation ($75) New Teachers (Free)--Proof Required

Business Information 

    School/Organization 

           Title 


           Phone 

   NYC Region # (if applicable)

NYC Licenses Held:

Position: Teacher Supervisor Other
Level: Elementary Middle School High School College Other
Teaching Area(s): Vocal Strings Winds Percussion Other

I would like to attend an Executive Board meeting.
I am interested in the mentoring program.
Please include my contact information in a MEANYC Directory.
Please do not include my contact information in a MEANYC Directory.

Note: Make all checks payable to MEANYC
Menbership is from September 2006-August 2007.