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FLIC Organizational Member Application 2020
Florida Immigrant Coalition seeks equal rights for immigrants and integration into the civic and cultural life of our communities. We accomplish our mission through coordination of immigrant organizations and community education, organizing and advocating. The Coalition believes in the empowerment of immigrants and the unification of immigrant communities to development amplified voice for immigrant rights. Membership is open to individuals and organizations. Becoming a member allows you to increase your ability to impact important immigrant rights issues.

Benefits:

• Organizational Members select FLIC Board of Directors and help shape Annual Priorities
• Members are empowered to participate in activities and events including training for members and staff, both state and national
• Members receive the a Quarterly newsletter and other important up-to-date information
• Members get exclusive opportunities for organizational development and technical assistance
• Members have indirect access to opportunities and information from more than 10 national partner organizations FLIC belongs to.

Duties:
• Members support the Coalition’s mission and vision and overall goals
• Send representatives to the Annual FLIC Congress (including the General Assembly) and to one of the Regional Meetings
• Members should be represented in one of 3 regional membership meetings
• Pay annual membership dues
• Members support Coalition campaigns, utilizing their organizations strengths and abilities
Email address *
Name of FLIC Board member or staff person who has worked with your organization and knows your work with the community? *
Does your organization subscribe to these duties ? *
Required
Organization Name *
Organization Mission
Share your organizations mission in this box. Whats the purpose or focus of your organization. If you have an official mission just copy and paste into the box
Why would you like to join FLIC? *
Types of memberships *
Please check the type of organization that best suit yours
Required
Organization Tax Status (Describe your org)
Address *
City *
State *
Zip Code *
Lead Point of Contact Name *
(First, Last)
Lead Phone number *
If different from Organization Phone (i.e. Cell Phone)
Lead Email *
Organization Website
Facebook, Twitter Social Media Link
(Example: @FloridaImmigrantCoalition #flimmigrant )
Is the lead point of contact with FLIC on your team the one who handles business/financial related actions (i.e. invoices, dues, etc)
(Dues, Invoices, etc)
Clear selection
Admin Point of Contact (if Different from Lead)
(Dues, Invoices, etc)
Admin Point of Contact Phone
(Dues, Invoices, etc)
Admin Point of Contact Email
(Dues, Invoices, etc)
Organizing and Campaign Rep Name
Member of your team that can represent in campaign and organizing calls, meetings, and plans (
Organizing and Campaign Rep Phone
Organizing and Campaign Rep Email
Program and Services Rep Name
Member of your team that can represent your organization in programs and service related work (i.e. citizenship clinics, legal services, or other service related work)
Program and Services Rep Phone
Program and Services Rep Email
If Other - Describe
Membership Dues and Contributions for Year 2018-19 (Organizational Membership)
Check Which Applies *
Membership Dues are $100.00. What is your preferred method of payment?
Clear selection
Make checks payable to Florida Immigrant Coalition and mail this form to: Florida Immigrant Coalition, 2800 Biscayne Blvd Suite 200, Miami, FL 33137
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