A/CAPA INSTITUTIONAL MEMBERSHIP FOR 2023-24 SCHOOL YEAR

The A/CAPA Executive Board hopes institutional memberships will be an attractive option for all School Districts and Educational Institutions as a vital way to foster professional networking. For an annual fee of $240 plus 3% credit card convenience fee included, participating institutions will receive the following benefits:

• Full regular memberships for up to 7 members
• Complimentary access to the association webinars
• Member rates for conferences and workshops
• Access to member resources on the A/CAPA website

Note: To qualify for institutional membership, the members listed on this form must all work for the same institution.

The key contact person must create an account to establish an institutional membership.  The person who is listed as the account holder will be the primary contact person but does not have to be listed as one of the institution’s members ultimately.

Once an account is set up, an activation email will be sent to the key contact person with instructions on adding institutional members.

Please review this PDF for additional information: A/CAPA Institutional Membership Instructions

Name:*

First Name Required Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

-- Select Country -- United States

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Salutation:* Salutation is Required

Dr.Mr.Mrs.Ms.Miss

First Name:* First Name is Required

Middle Initial: Middle Initial is not valid

Last Name:* Last Name is Required

Email Address:* Email Address is Required

Office Phone Number:* Office Phone Number is Required

Office Phone Extension: Office Phone Extension is not valid

Office Fax Number: Office Fax Number is not valid

Publish Contact Information?:* Publish Contact Information? is Required

Yes No

Institution:* Institution is Required

Position: Position is not valid

Facility Type:* Facility Type is Required

Charter SchoolCTCCyber Charter SchoolIntermediate UnitOtherOther PA SchoolsSchool District

Purchase Order Number:* Purchase Order Number is Required

Intermediate Unit (where you're located):* Intermediate Unit (where you're located) is Required

NONEAllegheny IU 3Appalachia IU 8ARIN IU 28Beaver Valley IU 27Berks County IU 14BLaST IU 17Bucks County IU 22Capital Area IU 15Carbon-Lehigh IU 21Central IU 10Central Susquehanna IU 16Chester County IU 24Colonial IU 20Delaware County IU 25Intermediate Unit 1Lancaster-Lebanon IU 13Lincoln IU 12Luzerne IU 18Midwestern IU 4Montgomery County IU 23Northeastern Educational IU 19Northwest Tri-County IU 5Philadelphia IU 26Pittsburgh-Mt Oliver IU 2Riverview IU 6Schuylkill IU 29Seneca Highlands IU 9Tuscarora IU 11Westmoreland IU 7

Student Information System Used:* Student Information System Used is Required

NONEOtheralmaeSchool eSchoolData (CSIU)FocusInfinite CampusLeader ServicesPowerSchoolSapphireSkywardSynergyAspenRedikerFirefly

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength  Password must be "Medium" or stronger

Pay with Credit Card (3% convenience fee included)

 

No val Please fix the errors above

Pay Acapa.org

$247.20 / Year

Terms: $247.20 / Year

 

	Institutional-POL – Initial Payment $247.20 / Year	$247.20
	Total	$247.20