2021-2022 CCOSA MEMBERSHIP FORM

The following steps will help you complete your form.

Please remember that if you are payroll deducting your dues, this form must be submitted to your district payroll clerk.

Step 1: Enter your information below making sure that all fields are completed and updated.

Step 2: Check the box indicating that all of your information is correct before proceeding to the next step.

Step 3: Choose your association. Your national membership is optional.

Step 4: Indicate your payment options:

Payroll Deduction - You must submit your form to CCOSA and to your district payroll clerk.
Personal Check (Payment in Full) - Print form and mail form with check to CCOSA.
Personal Credit Card - Pay Online

Step 5: Choose optional membership benefits.

Step 6: Sign, date, and submit form.

Prefix/Title

Last Name *

First Name *

Middle Name

Nickname

Suffix

Birthdate *

Gender

Last 4 of SSN *

Ethnicity

Professional Title *

Years in Current Position

District *

Office Phone *

Ext.

School *

County

Office Fax

School Address

City

State

Zip Code

Work Email *

Grades

Home Address

City

State

Zip Code

Home Email

Home Phone

Cell Phone

Photo

Browse Files

Click on the blue button to select and upload your photo.

I verify that the above information is correct.

MEMBERSHIPS - CHOOSE YOUR ASSOCIATION

CCOSA Membership is for ADMINISTRATORS serving at ANY level and in any capacity at the state, school district, or site level. Members who serve as administrators are not precluded from joining other CCOSA Associations.

OAESP Oklahoma Association of Elementary School Principals — $300	If you selected OAESP or OASSP and you would also like to be affiliated with OMLEA at no additional cost, check the box below. OMLEA Oklahoma Middle Level Educators Association — $0
OASSP Oklahoma Association of Secondary School Principals — $315
OASA* Oklahoma Association of School Administrators $405 - Superintendents $385 - Central Office Staff	ODSS Oklahoma Directors of Special Services — $265 OARSA Oklahoma Association of Retired School Administrators — $35 *Not eligible for professional liability insurance or cyber security optional benefit and must have been an active CCOSA member for a minimum of three years prior to retirement.
*Active membership in OASA shall consist of personnel from the following educational groups who have paid dues to this association: public school superintendents, and, their respective central office administrative staff, State Department of Education administrative staff, Oklahoma colleges and universities administrative staff, Oklahoma School Boards administrative staff, State Department of Career and Technical Education administrative staff and technology center superintendents and their respective administrative staff, and executive directors of organizations formed to advocate solely for public schools and their respective administrative staff. Administrators, superintendents, members, employees, and similar of not-for profit charter, for-profit charter, virtual charter blended schools, non-local board of education sponsored charter schools, and any other organizations that have a similar purpose as these listed organizations are not eligible for any class of OASA membership.

Associate Memberships

Associate Memberships are for School Employees that are not Administrators and are not considered active CCOSA Members.

OAESP/OMLEA Associate — $150	OASSP/OMLEA Associate — $150	University Associate — $50 Persons currently ENROLLED with state colleges/universities & not holding an administrator position	Business Associate — $150 Business membership is open to any business entity willing to partner with CCOSA. Business members shall not be eligible to vote, hold office, or receive individual active member benefits.
ODSS Associate — $150	OASA Associate — $150**
**Associate membership in OASA shall consist of all other personnel who have not been defined as eligible active members and who have paid dues to this association: local board of education sponsored charter school and tribal school superintendents and their respective central office administrative staff, public school support staff serving in an administrative role and who are eligible for membership in any other educational related association. Associate membership will allow the member to participate in professional learning opportunities offered by the association at a member rate. Associate membership will be a non-voting status, not eligible for association awards or to hold an office in the association. Associate membership does not include advocacy efforts on the part of the member.

National Memberships (Optional)

Please note that joining a national association does NOT make you a member of CCOSA.

NAESP National Association of Elementary School Principals $235 Principal $195 Asst. Principal $80 Emeritus	NASSP National Association of Secondary School Principals $250 Full Member
AASA American Association of School Administrators $235 Less than 350 stdnts $470 More than 350 stdnts $79 Retired	CEC/CASE Council for Exceptional Children/Council of Administrators of Special Education $270 Full Member

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