DSC Individual Membership Application Form

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Thank you for your interest in being a part of the DSC National Coalition. Unfortunately, at this time we have a moratorium on new membership until further notice.

You can still complete a membership application and once our moratorium ends, we begin to reach out to all those who have applied for membership during our moratorium. If you have any questions please send your inquiry to info@dignityinschools.org. Thank you.

Name (please provide full name) *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Website (N/A for not applicable) *

Facebook (N/A for not applicable) *

Twitter (N/A for not applicable) *

How does your current and past work indicate its alignment with DSC’s mission to challenge the systemic problem of pushout in our nation's schools and promote local and national alternatives to a culture of zero-tolerance and removal? *

Please describe your connection to communities affected by school pushout. *

Please describe your current and past work related to school pushout: *

Are you affiliated with a particular organization(s) and/or coalition? *

Yes

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