Membership Application

Name & Login Details

Passwords: at least 8 characters, include a number

Contact Information



We use this identity data to track who we are and who we are serving with our programming. We share our data with our members and with our funders. The need to track for ourselves and our funders is why some of these questions are marked as *required. If you have thoughts about this, email to talk more.

Affilitation(s) & Title(s)

Do you work with, volunteer for, or otherwise represent another organization or group? If so, list them here. If not, no stress, it's certainly not a requirement, so just leave it blank.

Social Media

Membership Levels

Membership Details