ACOE

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MemberInfoUpdate
Choose Your Current Status:*
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Date
MM slash DD slash YYYY
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Country
Personal Information Section ( * indicates Required Field)
* First Name*
Middle Initial
* Last Name*
Maiden Name
Address
City
State: Choose from the drop down list.
Zip Code
Phone Numbers and Email Addresses ( * indicates Required Field)
Main Phone: Needs to be one you are likely to answer.
Secondary Phone
* Personal Email Address: ACOE's main contact method.*
IMPORTANT: If you work in the Jefferson County School System or the

Blount County School System, please do not enter your work email as a contact.

These systems have strict rules concerning school email usage.
If you entered a work email address as your personal email, we ask that you enter a non-work email.

ACOE will never abuse your email account.
Work / School Email Address
IMPORTANT: ACOE is not allowed to send emails to your district's email address.

Please make sure that you provided ACOE with a Personal Email address that is current.
School or Workplace Section ( * indicates Required Field)
Choose your school system and school:
- Click the box if your school district was not found.
School District Not Found: In which town is your school located?
Name of District: Enter district name. NO ACRONYMS
- Click the box if your school was not found.
School Not Found: Enter school name and city. NO ACRONYMS
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Choose the College or University where you work or attend.
- Click the box if your school was not found.
If your college or university is not listed, please enter it here.
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What is your expected graduation date?
MM slash DD slash YYYY

IMPORTANT: The month and year are important. A specific day is not important.
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Job Category: Choose from the drop down list.
For insurance purposes, please choose the category that best describes

the job or function you do most of the time while at work.
Use the "NOTES" box below to enter any additional changes.
NOTES:
Comments
This field is for validation purposes and should be left unchanged.

Personal Information Section ( * indicates Required Field)

Phone Numbers and Email Addresses ( * indicates Required Field)

IMPORTANT: If you work in the Jefferson County School System or the

Blount County School System, please do not enter your work email as a contact.

These systems have strict rules concerning school email usage.

If you entered a work email address as your personal email, we ask that you enter a non-work email.

ACOE will never abuse your email account.

IMPORTANT: ACOE is not allowed to send emails to your district's email address.

Please make sure that you provided ACOE with a Personal Email address that is current.

School or Workplace Section ( * indicates Required Field)

Use the "NOTES" box below to enter any additional changes.