Community Partner Program Community Partner Application 1. Organization InformationOrganization Name*Geographic Region(s) Served*Primary Contact Name* First Last Primary Contact Title*Primary Contact Email* Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone*FaxWebsite* Date* Date Format: MM slash DD slash YYYY 2. Membership FeeCommunity 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 SchoolsAttn: Melissa Carollo320 Metairie-Hammond Highway, Suite 402Metairie, LA 700053. Listing on LAPCS WebsitePlease 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 Accepted file types: jpg, gif, eps, ai, png. Vendor Member Category ListingSelect only 2 categories. Accountability, Data & Assessment Back Office & Start Up Services Board/Executive Leadership Development Classroom & Teacher Supplies Compliance & Student Information Systems Curriculum & Textbooks Facilities & Maintenance Financial & Auditing Services Food Services Fundraising & Grant Writing Furniture Home School Services HR/Talent Management/Staffing Insurance & Retirement Benefits IT/Technology Legal Assistance Online/Blended Learning Professional Development Special Education Needs Strategic Planning Technology Don’t fit into any of these categories? Other Category:For questions or more information, contact Shannon Cian, Philanthropy & Community Partnerships Director, at [email protected].CommentsThis field is for validation purposes and should be left unchanged. Δ