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SY25-26 Membership Form: "Blueprint Coalition" 
To be completed by representatives from entities committed to the full funding and transparent, equitable, faithful implementation of the Blueprint for Maryland's Future.

New members: someone from the Executive Committee will be in touch with your primary contact following submission to schedule a relational meeting.
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Email *
Select your organization's status with the Coalition *
Name of your organization *
Describe your organization (including membership, if any, constituency, regions/communities served, etc.) *
Please insert your organization's logo (if possible)
Name your organization's primary representative(s) on the Coalition and their role(s) within your organization. *
Provide the email and phone contact information for your organization's additional representatives on the Coalition. Indicate whether you would like any phone numbers kept private (available to the Executive Committee only). All other information will be shared with the full Coalition membership.
Which area(s) of the Blueprint and its implementation are priorities for your organization? *
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