Choose Peace
Choose Montessori
Montana Montessori Educators' Association
P.O. Box 11684
Bozeman, MT 59719
montanam
Application
(please print and mail this form with your check)
MMEA * P.O. Box 11684, Bozeman, MT 59719
School membership year is February 2012 – January 2013
1. School Information
School Name
___________________________________________________________________
School Mailing Address
___________________________________________________________________
Physical Site (if different)
___________________________________________________________________
School Telephone
___________________________________________________________________
Email address for public contact
___________________________________________________________________
School Web Address
___________________________________________________________________
Type of School
𐀀Public 𐀀Charter 𐀀Head Start 𐀀Non-profit 𐀀Proprietary
Year School was founded _________________________________
School Calendar (Check all that apply)
𐀀Academic Year 𐀀12 month program 𐀀Summer program
Age range of students accepted ________________________________________
Additional programs offered (ex: music, language)
___________________________________________________________________
___________________________________________________________________
2. Head of School
Name
___________________________________________________________________
Phone (not for publication) ____________________________________________
Email address (not for publication) _____________________________________
3. Classroom Information
Please state the number of classrooms for each age group:
• Infant ___________________________________
• Toddler __________________________________
• Early Childhood (Primary) _________________
• Elementary I (Lower, ages 6-9) ______________
• Elementary II (Upper, ages 9-12) _____________
• Other ____________________________________
• Annual Membership Fee based upon the total number of classroom teachers in your
school.
Indicate how many classroom teachers your school has:
𐀀1-2 classroom teachers = $30
𐀀3-4 classroom teachers = $50
𐀀5-7 classroom teachers = $80
𐀀8+ classroom teachers = $100
Individual member =$20
𐀀I have enclosed a check for my school’s membership.
______________________________________________________________________
Signature of Head of School
P.O. Box 11684
Bozeman, MT 59719
montanam
