Membership Form

Spalding County Collaborative Authority for Families & Children

MEMBERSHIP AFFILIATION

Please select the appropriate tier of affiliation based on your expected involvement and/or desired benefits of affiliation with the Spalding Collaborative.

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1. Select your membership affiliation: (Required.)

PARTNER is characterized by one or more of the following: memorandum of agreement and/or understanding, shares information and/or resources, attends 75% of collaborative and/or committee meetings, board member. Benefits include: potential fiscal agent, collaborative presentations, recognition in annual report, training, technical assistance, letters of support, 2-way information dissemination.

MEMBER is characterized by one or more of the following: attends 50% of collaborative and/or committee meetings, serves on one or more committees. Benefits include: recognition in annual report, training, technical assistance, letters of support, 2-way information dissemination.

FRIEND is characterized by one or more of the following: attends collaborative meetings, provides information for resource directory. Benefits include: letters of affiliation, 2-way information dissemination.

GUEST is characterized by requesting and/or providing information. Benefit is 2-way information dissemination.

Membership Form

Spalding County Collaborative Authority for Families & Children

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1. Select your membership affiliation: (Required.)

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2. Name

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3. Organization

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4. Address

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5. E-mail

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6. Phone

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7. Please provide the link to your website or social media page.

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8. Date

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* 1. Select your membership affiliation: (Required.)

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* 2. Name

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* 3. Organization

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* 4. Address

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* 5. E-mail

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* 6. Phone

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* 7. Please provide the link to your website or social media page.

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* 8. Date

1. Select your membership affiliation: (Required.)

2. Name

3. Organization

4. Address

5. E-mail

6. Phone

7. Please provide the link to your website or social media page.

8. Date