MINNDEPENDENT School Membership Application 2023-2024

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To apply for membership in MINNDEPENDENT please complete and submit this form. Each application will be reviewed by MINNDEPENDENT to determine the school’s eligibility. When the application is approved, MINNDEPENDENT will email a formal Member Welcome Packet to the school. The packet will include an official invoice showing the annual dues payable for the first year (based on number of K-12 students). Dues are payable within 30 days of the invoice date and are nonrefundable.

Email *

School Name *

Street address *

City and ZIP code *

County *

Telephone number *

School Website

School District Number *

Federal Tax ID *

School Leader's name *

Position title *

Email address *

Affiliation(s)

List school's religious or other affiliation(s)

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