Name of Primary PACIE Member (institutional representative for voting purposes) *

Please designate and list a primary PACIE member who will be responsible for casting member votes on behalf of your institution.

First Name

Last Name

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please choose your desired membership level:

Please visit the Membership Levels page on the website for inclusions at each membership level.

K-12 Global Learning Advocate - $150

Global Learning Champion - $250

Institutional Member - Bronze Level - $500

Institutional Member - Silver Level - $1000

Institutional Member - Gold Level - $2000

Institutional Member - Platinum Level $5000

Institutional Member Employee Membership - $0

Individual Membership - $100

Retired Individual Membership - $50

Student Membership (must provide documentation of student status) - $25

Sponsor - Mini-grant Sponsor - $250

Sponsor - Workshop Sponsor - $500

Interested in helping on a committee? Check all interest areas.

Optional

Conference Committee

Marketing & Communications Committee

Membership and Finance Committee

Education and Policy Committee

Payment Method

Check

Credit Card - Online (please note that you will be provided with a link for online payments when you hit the submit button.)