AAISA Membership Application

1. Applicant Information

Thank you very much for your interest in becoming an AAISA Member!

Please note that this application has three components: Applicant Information, Service Delivery and Intent.

Question Title

* 1. Contact Information

Agency Name *

Name of Executive Director *

Address *

City/Town *

Postal Code *

Telephone *

Fax

Website

Email Address *

Question Title

* 2. Agency Information

Number of Employees:

Number of Board Members:

Number of Volunteers (if any):

Number of years your agency has been operating:

Number of years your agency has had funded services:

Question Title

* 3. Please indicate which of the following best describes your agency:

An incorporated not-for-profit society

A branch/division of an incorporated not-for-profit society

A public sector or quasi-public sector organization

A branch/division of a public/quasi-public sector organization

Question Title

* 4.
AAISA’s fiscal year runs from April 1 to March 31 and memberships are effective for the same period. Membership fees are payable annually by the Annual General Meeting, which is usually held in June. Please use the following scale to identify your agency's Annual Membership Fee for 2018-2019, based upon your agency's previous year’s revenue.

Agency Operating Budget Annual Membership Fee

Under $500,000 $ 300

$500,000 - $750,000 $ 400

$750,000- $1 million $ 600

$1 - $2 million $ 900

$2 - $3 million $1,200

$3 - $4 million $1,500

$4 - $5 million $1,800

$5 - $6 million $2,100

More than $6 million $2,400

Your Agency's Annual Operating Budget

Your Annual Membership Fee

Question Title

* 5. What is your agency's primary mandate?

Question Title

* 6. Where have your agency's funds come from?

Immigration, Refugees and Citizenship Canada (IRCC)

Government of Alberta

Private Foundations

Private Donors

Other (please specify)

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Agency Operating Budget	Annual Membership Fee
Under $500,000	$ 300
$500,000 - $750,000	$ 400
$750,000- $1 million	$ 600
$1 - $2 million	$ 900
$2 - $3 million	$1,200
$3 - $4 million	$1,500
$4 - $5 million	$1,800
$5 - $6 million	$2,100
More than $6 million	$2,400