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Membership Form (For Charter Authorizers)

NACSA MEMBERSHIP FORM FOR CHARTER SCHOOL AUTHORIZERS

Memberships are accepted throughout the year and are renewable annually.  To join NACSA, complete the information on this page and mail with a check for the applicable dues amount, payable to The National Association of Charter School Authorizers to:  NACSA, 1125 Duke Street, Alexandria, VA 22314.

NACSA Annual Membership Dues

NACSA has a tiered dues structure based on the number of charter schools your agency oversees.  Basic membership dues are $500 per authorizing agency (for one agency overseeing one charter school).  Following is the complete dues table:

*The number of charters is the number you anticipate will be in operation next fall.  Multiple campuses operating under a single charter are counted as a single school for purposes of NACSA dues.

Membership Application Information

For Charter-Authorizing Agencies Only

Contact Name________________________________________


Title________________________________________________

Institution____________________________________________

Address______________________________________________

City___________________________State__________________

Phone______________________Fax_______________________

Email________________________________________________

Website_________________________________________

# of Charter Schools operating next Fall    _____

Dues Amount Enclosed                               _____

For our records, please also provide

Total Number of Campuses          _____  

Total Enrollment in Charters        _____  (anticipated for next Fall)