To join WITESOL, please fill out a membership form.

          download membership form here >>
Make your check payable to: WITESOL
Mail application and check to:

Denise Anderson
WITESOL Membership
427 Game Ridge Trail
Oregon, WI 53575

Any questions? Please contact Denise Anderson

WITESOL Membership Application/Renewal    
(membership runs from 10/1 to 9/30 annually)
PLEASE PRINT CLEARLY!

Name:  _______________________________________________________

Address:  ______________________________________________________

City: State: Zip: _________________________________________________

Affiliation (School, Company):  _____________________________________

Preferred Phone:  _______________________________________________

Email:  ________________________________________________________

The next WITESOL Directory will include only your name, affiliation, and email.  
_____Please check here if you do NOT want your name included in the Directory.  

Areas of interest:  Check all that apply
Preschool___ Elementary___ Middle___ Secondary___ Higher Ed___ Adult Ed___
Tech College___ Refugees___ Technology___ Bilingual Ed___Program Admin___ Other________________________________

Membership fees
Regular membership      $30.00 1 yr/$55.00 2 yrs  (Full time)
Part time                     $23.00 1 yr/$40.00 2 yrs 
                                  (needs supervisor signature to verify)
Student membership     $23.00 1 yr/$40.00 2 yrs

Group membership (5 or more people, 1 affiliation, apply together)
                                 $25.00 1 yr only (full time)
                                 $20.00 1 yr only (part time)