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Member Application

The Arizona Center for Afterschool Excellence is the professional organization for individuals working in the out-of-school time field and the only organization in Arizona working to include all afterschool stakeholders in developing statewide systems and policies for professional development, quality, advocacy, and community capacity building. The Arizona Center for Afterschool Excellence is the state affiliate of the National AfterSchool Association. Center members receive a companion membership in the National AfterSchool Association.

Arizona Center for Afterschool Excellence Membership Application
Please fill out the membership form below to apply for membership:

 

Annual Membership Categories (Check all that apply) Individual Line Staff Membership*……………………………………………….…….……$10.00       (membership benefits limited to regional, state and NAA conference discount) Individual Professional Membership*…………………………………………………..… $45.00       Agency Memberships** Level 1 (1-4 Members in the Center and NAA)……………………………………..…… $100.00 Level 2 (5-8 Members in the Center and NAA)…………………………………..……… $200.00 Level 3 (9-12 Members in the Center and NAA)……………………………………..….. $300.00 Level 4 (13-16 Members in the Center and NAA)………………………………….…… $400.00 Level 5 (17-20 Members in the Center and NAA)………………………………..……… $500.00 Total :$

Please Complete the Following for Each Member First Name   Last Name   Agency Address Phone   Enter the value in format 123-123-1234 Fax E-mail    Total number of children and youth in the program Yes, I would like my name and contact information listed in the online member directory.

Position/Title Administrator Director Coordinator Line Staff (work directly with children and youth) Trainer Consultant Curriculum Specialist College Instructor Professor Researcher Other If other,please explain:

School-Age Program Type Private, Non Profit Private, For Profit Faith-Based Organization Public School Parks & Recreation Military Youth Development (YMCA, Camp Fire, Boys & Girls Club, Boys Scouts, Girls Scouts, 4-H, etc.) Other If other,please explain:

Areas of Personal Interest Professional Developement Marketing & Communications Regulation & Legislative Advocacy Quality Standards & Assurance Curriculum & Program Activities

+   Please be sure to add all members before clicking Submit button

Please Complete the Following for Each Member First Name Last Name Agency Address Phone   Enter the value in format 123-123-1234 Fax E-mail Total number of children and youth in the program Yes, I would like my name and contact information listed in the online member directory. Position/Title Administrator Director Coordinator Line Staff (work directly with children and youth) Trainer Consultant Curriculum Specialist College Instructor Professor Researcher Other If other,please explain: School-Age Program Type Private, Non Profit Private, For Profit Faith-Based Organization Public School Parks & Recreation Military Youth Development (YMCA, Camp Fire, Boys & Girls Club, Boys Scouts, Girls Scouts, 4-H, etc.) Other If other,please explain: Areas of Personal Interest Professional Development Marketing & Communications Regulation & Legislative Advocacy Quality Standards & Assurance Curriculum & Program Activities

Payment Method Will mail check Purchase Order # Credit Card