Prospective Member of TOPAA - Attorneys and/or Advocates

Complete BOTH forms & submit; upon acceptance you will receive an invoice for dues   (electronically: Membership@TOPAA.org or at www.TOPAA.org)
TOPAA, P. O. Box #31, Sugar Land, TX 77487-0031

Membership Dues:   effective September 1, 2008 
____ $75/year Attorneys
____ $75/year Professionals (drs, counselors, therapists, etc.)
Attorney/Professionals Pay Here: Click Below

 

Membership Dues:   effective September 1, 2008 
____ $50/year Advocates
Advocate Pay Here: Click Below

Listing on the TOPAA Website is included in your annual dues.  Advertising on the TOPAA Website is an additional fee.

Attorneys – Please provide your Bar number, state of issue, and expiration date:  (Attorneys must be a current Bar Member in good standing):_______________________________________________

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Advocates – Please list Special Education/Advocacy trainings you have completed in the last 2 years:  (In order to qualify as an advocate, you must submit proof of having attended at least one special training in the last year and have actively advocated for a child other than your own in the Texas public school system.)__

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Advocates – How many other families have you provided services (excluding your own):__

Attorneys, Advocates, & Professionals – please provide any areas of specialization: ____

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Attorneys – please list experience/training in Special Education Law/other areas: ________

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Listing Info:___________________________________________________________

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You will be subscribed to both the TOPAA general list-serve as well as the TOPAA-AA (for attorneys and advocates) list-serve unless you specify otherwise.

Name:_________________________________________________________________________

Organization:____________________________________________________________________

Email/Website:___________________________________________________________________

Street:_________________________________________________________________________

City/State/Zip:___________________________________________________________________

Telephone (please specify business and/or personal):_______________________________________

School District:___________________________________________________________________

In which capacity are you joining?  (Attorney, Advocate, and/or Parent):__________________________

What is your interest in this group?_____________________________________________________

What do you hope to gain from TOPAA?_________________________________________________

What do you feel you can contribute to TOPAA?____________________________________________

Other organizations you belong to:_____________________________________________________

Please specify if you have a specific interest: (legislative, support, reform, etc.)_____________________
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Please provide your child(ren)’s ages and disabilities: _______________________________________
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Who referred you to TOPAA? (website, search, person – please specify):__________________________

□ I certify that I am not employed by, or receive more than 50% of my income from state, intermediate or local education agencies, nor am I an attorney who represents or has represented such an agency within the past five years, nor am I a member of a school board.  Exceptions are made on an individual basis by our membership committee.