Community Partner Application

1. Organization Information

Organization Name*

Geographic Region(s) Served*

Primary Contact Name*

First Last

Primary Contact Title*

Primary Contact Email*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Telephone*

Fax

Website*

Date*

2. Membership Fee

Community Partner membership is offered at an annual fee of $1,000, renewable each year on the date of initial registration.

Please make check payable to "Louisiana Association of Public Charter Schools" and mail payment to:

Louisiana Association of Public Charter Schools
Attn: Melissa Carollo
320 Metairie-Hammond Highway, Suite 402
Metairie, LA 70005

3. Listing on LAPCS Website

Please enter an organization description and upload your logo for use on the Association's website.

Description of Company*

Please enter a 100-word description of your company.

Company Logo*

Please upload a jpg, gif, eps, ai or png file of your logo on a white background. You can send up to 3 images.

Drop files here or

Vendor Member Category Listing

Select only 2 categories.

Other Category:

For questions or more information, contact Shannon Cian, Philanthropy & Community Partnerships Director, at [email protected].

Comments

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Community Partner Program

1. Organization Information

2. Membership Fee

3. Listing on LAPCS Website