Associate Member Application

Application & Renewal Form

First Name**

Last Name**

Company / School Name

Position Held / Position Title

Brief Position Description

Phone Number

Fax Number

Street Address

City

Province

Postal Code

Application Type*

Qualifications - Note that LEADS may request evidence of the affiliation.

Employed in a supervisory or consultative position by the Department of Education, a Board of Education or a Conseil Scolaire.

Member of the Faculty of Education at the University of Saskatchewan or the University of Regina.

Professional staff member of the Saskatchewan Teachers' Federation or the Saskatchewan School Boards Association.

Former member of LEADS.

A Superintendent of Education employed by the Government of Canada who has been assigned to a position within Saskatchewan.

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