Membership Application

of the Society of State Leaders of Health and Physical Education

Thank you for your interest in becoming a Society member!

Directions:
If mailing your application, you can print a blank membership form by clicking on the button below or complete the online form and then print it out.

To complete your application online, please fill in the form below checking your membership type, completing the sections regarding personal, organizational and contact information, payment method and committee interest. Click on the "Continue" button at the bottom of the form.
*Denotes required information.

Membership Type

Membership Type* Eligibility Voting and Leadership Membership Dues
(1/1/17 - 5/31/18)
Any state department of education employee who works in health, physical education, and/or any component of coordinated school health or the Whole School, Whole Community, Whole Child model (i.e., health education, physical education, health services, healthy physical environment and social and emotional climate, school nutrition services, school-site wellness, school mental health services, family engagement, and community involvement) is eligible for Professional membership. (District of Columbia and United States Territories are considered as individual states.) Can vote on official Society business and hold all positions of leadership. $100
Any professional who is interested in the goals of the Society but does not work within a state department of education is eligible for Associate membership. Associate members may work for state departments of health or other state agencies, federal governmental agencies, national non-governmental organizations, local education agencies, universities, and companies that support health and physical education programs in schools. Cannot vote on official Society business---may serve as Secretary, Treasurer, or Member-at-Large and have voting privileges on the Board of Directors. $100
Any Society member, in good standing for at least ten consecutive years, who has retired from his/her position is eligible to apply for Retired membership status. Same members have the same privileges as a professional member. $100
Any Society member in good standing who has served the Society for at least ten consecutive years and has retired from the State Department of Education is eligible to be considered for the Emeritus membership status award. Same privileges as a professional member, with a lifetime exemption of paying dues. $0

Personal Information


Organization and Address Information


Contact Information


Committee (Optional)

Members of the Society of State Leaders of Health and Physical Education often contact and become better acquainted through service on committees. Committees do their work via conference call and/or emails. We invite you to choose a committee below that will benefit you in your work. Click committee names for more detailed information on each committee’s roles and responsibilities.

Committee Description
Monitor and assess current and proposed policies and legislation. Collaborate with other organizations, with the approval of the Board of Directors, to educate appropriate target audiences, regarding research-based policy and legislative options.
Strengthen the external and internal communication efforts to increase membership and financial resources for programs and services and build strategic partnerships with related health and education organizations.
Oversee the financial operation and growth of the Society. Advise the Board of Directors for managing financial holdings, identifying opportunities for strategic partnerships and growth, and expanding and diversifying the funding base (e.g., grants).
Support the Society through recruitment and orientation of new members as well as support for current members to meet their diverse needs.
Support Society Board of Directors in planning and executing of professional development opportunities to meet the needs of members using face-to-face and/or virtual strategies.

Previous Society Membership

Are you a new or previous member of the Society of State Leaders of Health and Physical Education (the Society), formerly called Society of State Directors of Health, Physical Education, and Recreation?


Payment Information

Payment Type* Additional Information
There will be an additional $4.00 charged to your credit card for use of the PayPal Service which has been enlisted by the Society.
Please make your check payable to “Society of State Leaders of Health and Physical Education” or “SSLHPE” and mail with completed form to the Society:
     The Society of State Leaders of Health and Physical Education
     P.O. Box 41253
     Fredericksburg, VA 22404
Emeritus members have a lifetime exemption of paying dues. Please mail your completed form to the Society:
     The Society of State Leaders of Health and Physical Education
     P.O. Box 41253
     Fredericksburg, VA 22404

For further information about membership, contact either Pat Stewart (Past-President) or Fran Meyer (Co-Executive Director) at info@thesociety.org.

Please review your information carefully before proceeding!
When you click on the "Continue" button below, your membership application will be processed
and a copy will be sent to the email address provided on the form.
You will also be given the opportuntiy to print it.
Members paying by credit card will be taken to the secure PayPal site to complete the transaction.
Your membership card will be emailed to you following payment confirmation.