LL
                                                                                  LFLTA
                                Louisiana Foreign Language Teachers Association

                              Membership Application for the Academic Year 2009-2010

To join or renew, print the application, complete the form, and mail along with payment of fees ($25.00 for teachers; $10.00 for student membership, with proof of student status) to Glenda Williams, LFLTA Treasurer at 721 6th St. Lake Charles 70601-5380.  Make check payable to LFLTA.

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First Name                                      Middle Initial                               Last Name


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Mailing address                                                                                   City, State, Zip Code

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Parish of Residence

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School/School address                                                                        City, State, Zip Code

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Parish of school/school district/university or college


Prefer to receive mailings:            __________at home            _____________at school

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Email address


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Language(s) taught


Level:  Check all that are applicable

__________Early Childhood                  _________Elementary

__________Middle School                     _________Secondary

__________Administrator                       _________University

To request student membership:
Signature of professor: