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Personal Information
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M. I.:
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Region	Gateway Kansas City Mid-Missouri Southwest Unsure of Region

Membership status for 10-11 Membership Year	Full Member - $45 Retired Member - $25 Associate Member - $25 Student Member - $20

University

I do not want want receive my newsletter in electronic format
I do not want my contact information available to other members on the "Members Only" section of the MASP website.
I am interested in helping MASP in one of the following ways:
Advocacy/Public Relations Committee
Certification and Training Committee
Communications/Electrions Committee
Conference Planning Committee
Membership Committee
Regional activities

Certification/Licensure Info
Missouri Certification Type	School Psychologist School Psychological Examiner Other:

Nationally Certified (NCSP)	Yes No
Licensure by the State of Missouri	Psychologist Counseling Social Work Other:

Highest Degree Level
Membership in other professional organizations:
NASP
MNEA
SWAM
MSCA
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