NCSSS Affiliate Membership Application
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Who Should Apply?
Affiliate members include the following entities that have demonstrated an interest in and support for the Consortium:

1. Colleges and universities      
2. Summer programs
3. Governmental agencies
4. Associations, and nonprofit organizations
Organization name *
Street address *
Street address
City *
State *
ZIP code *
Primary Contact Title *
Primary contact first name *
Primary contact last name *
Phone *
Email *
Secondary contact name for NCSSS business
Email
Organization website URL *
Organization social media information
There are many ways to get involved with the Consortium. Please check any areas in which you are interested: *
必填
What other areas are you interested in with the Consortium?
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