HOWDY! Thank you for your interest in being a General Member of the Learning Community
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What type of General Member do you want to be? *


 
YOUR CONTACT INFORMATION

 
Your first name *

 
Hey {{answer_34912047}}, what is your last name? *

 
Organization name (if appropriate):

 
Your job title

 
Best phone number to contact you at *

Hey, don't worry. We will only call if there is an issue with your email address.
 
Your website address

 
Your street address (please include the unit number if there is one) *

 
Your city *

 
Your province or territory *


 
Your postal code *

 
Awesome! Thank you for sharing your contact information. 

Please tell about the fantastic work you are doing...

 
{{answer_34912047}}, please tell us what sector you work in: *


 
Please tell us about the types of programs your organization offers:

This question is optional. But we would like to know more about your work.

 
Please share what types of programs you are interested in learning more about:

This question is optional. We are curious about what you are interested in.

 
Acknowledgement of limits of General Membership in the Learning Community

 
I acknowledge that General Membership in the Learning Community grants me (and my organization) limited access to the work of the Learning Community *

     
 
Thank you for completing our membership form. Please email lmcmillan@awayhome.ca with any questions about your General Membership.

 
Please note: we will send you an invoice for your membership fee. You may pay by cheque or credit card.

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