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Friends of ISAAGNY: New Member Application
This form requires Javascript to be enabled for submission and authorization.
*
Required
Organization Name
*
required
Contact Information
Executive Director
First Name
*
required
Last Name
*
required
Email Address
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required
Point of Contact for ISAAGNY Membership
if different from above
First Name
*
required
Last Name
*
required
Role
*
required
Email Address
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required
Organization Information
What's your organization's website URL?
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required
What's your organization's mission statement?
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required
What's your organization's objective?
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required
When was your organization founded or incorporated?
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required
Please describe the background and/or training of your team members.
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required
How did you hear about ISAAGNY?
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required
Why do you want to join the ISAAGNY community?
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required
How does your organization support equitable and antiracist practice?
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required
Is your organization a member of any other educational organizations or associations? If so, please list them.
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required
Annual Dues
Annual dues are determined by the pricing structure that organizations have for families.
*
required
Payment instructions will be provided upon acceptance. Dues are non-refundable and non-transferable.
We do not charge families for services ($750).
We do charge families for services ($1,250).
Payment instructions will be provided upon acceptance. Dues are non-refundable and non-transferable.
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