Click   HERE for printable application.       
 
 

         NORTH DAKOTA INTERSCHOLASTIC ATHLETIC ADMINISTRAT0RS ASSOCIATION

AND

NATIONAL INTERSCHOLASTIC ATHLETIC ADMINISTRATORS ASSOCIATION

DUAL MEMBERSHIP 2014-2015

Please complete and return to:

Lorell Jungling

Mandan High School

905 8th Ave NW

Mandan, North Dakota 58554

(DO NOT MAIL IN YOUR DUES TO NIAAA)

 

First Name______________________M.I. ____Last Name________________________Suffix:____ (Jr., III, etc)

                (As it appears on your driver’s license)                                                                                                                                              

School or Organization: _______________________________ Title: __________________No. Years AD ____________

Office Address:_____________________________________________________________District:_____ Class:_______

City: _____________________________________________ State: _______________________Zip: _______________

Office Phone: (______)_________ Home Phone: (_____)__________ Preferred Mailing Address: Home ___School ____

Fax: (______)______________________      E-Mail Address:________________________________________________

For NIAAA insurance purposes, the following information must be provided:

SSN: _______________ Birth date: ____-_____-______      Male ___  Female ___     Smoker – Yes _____ No ______

Home Address:__________________________________________________________________________________

City: _______________________________________ State: __________________________ Zip: _________________

The NIAAA studies diversity among our membership.  In this regard, a database has been instituted to collect this information from our membership.  We appreciate your completion of this section so we may better serve our membership>

 

 ________ Caucasian                            ________ Latino                                    ________ American Indian                   ________ Asian

 

 ________ Pacific Islander                    ________ African American                  ________ Multi-Cultural                         ________ Alaskan Native

If none of the above codes seem appropriate, please indicate your background: ______________________________________________________

 

 

 DUAL MEMBERSHIP (NDIAAA/NIAAA)--$125.00

 (Check payable to: NDIAAA)                                                    (Date Rcvd. _____________

 

                         NDIAAA/NIAAA MEMBERSHIP INFORMATION

If you are involved in administrating interscholastic athletics at the high school, middle school or junior high level then you should join these professional organizations. 

The NIAAA is a national professional organization and the NDIAAA is the state professional organization administered by, and for, athletic administrators for the purpose of:

·          Promoting professional growth and image of interscholastic athletic administrators

·          Promoting the development and prestige of state athletic administrators organizations, which will contribute, in cooperation with state high school associations, to the interscholastic athletic program of each state

·          Providing an efficient system for exchange of ideas between the NFHS and state athletic directors organizations and individual athletic administrators

·          Preserving an educational nature of interscholastic athletics and the place of these programs in the curricula of schools

 

MEMBERSHIP BENEFITS

·          The IAA, a quarterly professional journal written by and for athletic administrators

·          The NDIAAA website access

·          $1,000,000 liability insurance while performing the duties of an athletic administrator (an additional $1,000,000 for those who have taken LTP 501 and LTP 504)

·          $2500 term life insurance

·          Opportunity to attend the NDIAAA Fall Workshop & Spring Conference

·          Discount on registration fees for the NFHS National Conference for high school directors of athletics

·          Opportunities to serve on national committees and state committees and board of directors.  

·          Opportunity to submit student scholarship applications for students from your school.

·          Opportunity to purchase long-term health care at significantly discounted prices.

·          Registration Fee of only $1.00 for “From the Gym to the Jury” online newsletter. Reg. $39.95 for non-member.