LEEA Partner/Membership Registration Form
Thank you for your interest in joining the Loudoun Environmental Education Alliance (LEEA). LEEA is a voluntary coalition of individuals representing nonprofits, schools, governments and corporations with a common interest in environmental education and stewardship in Loudoun County, Virginia.

If you are representing a potential partner organization, the information collected in this form will be used to add your organization's information to LEEA's list of partners, Resource Guide, and Google group to inform you of upcoming events and monthly meetings via email. Individuals who do not represent an organization and are interested in learning more about and/or volunteering for LEEA and its upcoming events and work in the community are also highly encouraged to join.

Please note: To be eligible to participate as a Loudoun SEAS Community Partner and showcase at all Loudoun SEAS events, applicants must maintain active status as a LEEA Community Partner. The LEEA Board of Directors retains the authority to decline any individual or group seeking to exhibit at Loudoun SEAS events if they are not current members of LEEA and have sought participation as a community partner. If you are new to LEEA and Loudoun SEAS, visit loudounnature.org to learn how you can get involved and become a Community Partner.

If you have any other questions or are unsure about your membership status, please send an email to LEEA@loudounnature.orgThank you again for your interest in joining LEEA.
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Contact Person Name *
Contact Person E-mail *
Contact Person Phone Number *
Organization Name
Organization Location/Address
Organization Website Link
Organization Mission Statement 
Organization Educational Materials and Resources 
Environmental Education Training Classes Offered
Field Study Site(s)
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