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Join APSE APSE is the only national organization with an exclusive focus on integrated employment and career advancement...

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Join APSE APSE is the only national organization with an exclusive focus on integrated employment and career advancement opportunities for individuals with disabilities. APSE has been a leader on Employment First, and continues to be, a strong, clear and consistent voice demanding that every individual with a disability have the same opportunities for employment as every other citizen. As a member, you become an integral part of a national organization connecting the disability and business communities.

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Advocacy in Washington, DC on disability and employment policies and legislation Annual National APSE Conference registration and sponsored training at discounted rates Access to training through APSE webinars at discounted rates  The same high quality training found at state and national APSE conferences can be experienced in the comfort of your own office through APSE Webinars conducted by APSE members. Topics include Job Development, Self-Employment, Transition, Public Policy, Organizational Change, Autism, Leadership, and more! E-Subscription to Job Training and Placement Report (JTPR) and APSE Connections  APSE members receive a monthly e-subscription to Job Training & Placement Report (JTPR), a $99 value, plus the new APSE Connections Inser t. J TPR has been ser ving suppor ted employment professionals longer than any other publication of its kind – more than 32 years! Each issue of JTPR is filled with practical information to help readers keep up with industry trends and to develop new strategies to increase employment opportunities for your clients. Members only access to the Journal of Vocational Rehabilitation online  JVR offers the latest information on issues of importance in the field of Vocational Rehabilitation. Members have access to current and back issues of JVR. This $1260 subscription is FREE to APSE members.  Hard copies of JVR are available for members for an additional $90/year ($924 value). APSE quarterly newsletter, Advancing EmploymentFirst  Advancing EmploymentFirst, the APSE quarterly newsletter, includes articles written by APSE members on job development, transition, public policy, and other state-of-the-art practices in integrated employment. This publication has been a resource for APSE members for the past 25 years. APSE News and Notes weekly E-updates Members only access to the APSE online forum and discussion area Joint Membership in your State Chapter  As a member of APSE, you are automatically a member of the APSE chapter in your state. Convenient Savings  Automatic annual renewal via credit card with discount applied  Membership dues paid in two installments via credit card (please call to set up)

Learn More About APSE:

For additional information regarding membership, the annual conference, webinars and upcoming events, visit www.apse.org.

416 Hungerford Drive, Suite 418 Rockville, MD 20850 P: 301.279.0060 F: 301.279.0075 www.apse.org

Membership Application Name_____________________________________________

Business Memberships

Business__________________________________________



Address___________________________________________ City ____________________State _______Zip____________ Telephone (_______)________________________________ Email_____________________________________________

How did you hear about APSE?______________________

Individual Memberships

APSE is supported by membership dues. Basic Member $120

Bronze Business Member: - $800. Includes all individual member benefits for up to eight individuals: JVR online access, Advancing Employment First quarterly print newsletter, JTPR and APSE Connections e-publications, Joint membership with State APSE Chapter, APSE Weekly News & Notes e-newsletter, training discounts for webinars and conferences, action alerts, and voting privileges.

 Silver Business Member: - $1000. All member benefits as a Bronze Business Member PLUS an additional individual member (*Total of Nine), certificate of membership for display, and one complimentary webinar for your company each year.

 Gold Business Member: - $1,500. All member benefits as a

$115 CESP Holder

College and University Student Member $50 (Must be a Full-Time College or University Student with ID) Students For APSE Member $10 (For individuals who have not graduated high school)

Bronze Business Member PLUS an additional two individual members (*Total of Ten), APSE plaque for display in your business, hotlink to your business on the APSE website, two complimentary webinars per year for your company, and discounted Director’s and Officer’s Insurance.

Please designate individuals who will be covered under a Business membership below or attach a list of member (please print legibly) Name

Contributing Member $250 $225 CESP Holder

E-mail

1. ___________________________________________________________

includes Basic membership plus tax-deductible donation to the APSE Foundation.  Subsidized Member (financial assistance requested) Email: ______________________________________________ Someone from APSE will contact you with details

2.___________________________________________________________ 3. ___________________________________________________________ 4. ___________________________________________________________ 5. ___________________________________________________________ 6. ___________________________________________________________ 7. ___________________________________________________________ 8. ___________________________________________________________

Check box that best describes you. I am a (n):  Individual with a Disability  Family Member  Student  Employer  Government/Legal/Public Policy  Adult Service Provider  Professor/Researcher/Special Educator  Other (please specify) __________________________________

Payment Instructions Canadian and other non-US members add $20 to rate Amount Enclosed (US currency only): ______________________ Please Print clearly:

 VISA

 MasterCard

EIN: 54-1470501

Name on Card _________________________________________ Card Number__________________________________________ Cardholder Signature____________________________________ Expiration Date : Month_________________ Year_____________ 3 digit Security Code ___________________ Note: APSE dues are not tax deductible

*9. __________________________________________________________ *10. _________________________________________________________

My Business is (check all that apply):  For Profit Business  SE Provider  Federa/State Agency  School (k-12)  University/College  Community Rehab Facility/  Advocacy Organization Skill Development Center Other (specify)_______________________________________

Membership Enhancements Journal of Vocational Rehabilitation (JVR) -APSE Members: Electronic access free; print copy: $90/yr ($1260 value)  Yes! Apply my APSE discount and start/continue my subscription to a print copy of the JVR at $90.00 ($924 Value)  Yes! I want to contribute to the APSE Foundation in the amount of $ _________________. *  Yes! I want to sponsor an APSE member with financial assistance at $60.00 * *Tax Deductible

Join online at www.apse.org