Membership Registration 7/1/2021 - 6/30/2022: Philadelphia Adult Literacy Alliance
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Last Name *
First Name *
Email address *
Phone *
Current Organization Affliiation (if none, type N/A) *
Which of these categories best describes your primary role? *
If you selected 'other' please describe your role *
What is the street address of your organization? *
What is the zip code of your organization? *
What committees are you interested in joining/supporting? (Please select 1 for the committee of highest interest and 4 for the lowest interest) *
1
2
3
4
Not interested or able to help
Fundraising (grants, membership, etc.)
Advocacy (city, state and federal levels)
Events (scholarship, annual conference, etc)
Community Engagement (partnerships, networking, learner voice)
Communications (social media, website, newsletter)
Special Projects (PATH: resource repository)
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