
JOIN NOW-PARTICIPATE IN OUR STATE ASSOCIATION
APPLICATION FOR CAASP MEMBERSHIP
$50 Whole Program Registration or $15 Individual Registration
Name and school or program _______________________________________________________________
Address __________________________________________________________________________________
Mailing Address if different from above _________________________________________________________
School Phone ________________________________________ Fax __________________________________
Email address ________________________________________ Grade Level ___________________________
Contact Person (if program registration) _______________________________________________________
| Year program was established: | |
| Average number of students enrolled: |
| Is program located on-site or off-site of traditional education facility? | On-site | Off-site | |||
| What makes your alternative program
unique? This membership application should be emailed to: Mark Hill mhill@southingtonschools.org and Wayne Theriault [wvt1948@sbcglobal.net]
This information will be placed on the CAASP website as an informational resource. To join CAASP, complete the above form and mail with a check for $50.00 Whole Program Registration, $15 Individual. Registration is payable to CAASP. Mail to CAASP c/o Wayne Theriault, 27 South Kerema Ave, Milford, CT 06460 Thank you.
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