Thomas Edison State University


Note: Please complete this application only if you are eligible for membership. Eligible members must be enrolled and matriculated in the Master of Arts in Educational Leadership program, have completed at least 24 graduate credits in Educational Leadership at Thomas Edison State University, and have a current Grade Point Average in the MAEdL of at least 3.75.

First Name:* MI: Last Name:* Suffix:  
Gender:* Male Female
Birth Date:* (mm/dd/yyyy)

Current Professional Position:*
Current Teaching Area, if Teaching:
Anticipated Graduation Date:*
Current Address:*
Zip/Postal Code:*
Telephone Number:*
E-mail Address:*

Please send a check in the amount of $65.00, payable to Thomas Edison State University, to:
Thomas Edison State University
Office of the Bursar
111 West State St.
Trenton, NJ 08608

Please clearly write your name, University ID, and "KDP" in the memo line of the check.

* Required Fields