ELGL Employee Memberships - Add A New Employee
This form should only be used when adding an employee to your organizational Supersize, All-In, Supersize Academic, or Small Communities Membership. With questions, email hallee@elgl.org.
You will receive a confirmation email when your profile has been imported to the ELGL system with instructions for accessing your ELGL membership benefits. This typically occurs between 3-5 business days from submission.
Email address of owner (this is your agency's ELGL Administrator, not your personal email address): *
Your email address: *
First Name: *
Last Name *
Your Birthday: *
Your Organization Affiliation: *
Your Job Title:
Phone Number: *
Street Address:
City:
Region/State:
Zip Code
Country:
Facebook Profile:
Twitter handle:
LinkedIn Profile:
What population does your position serve? *
Please select your ethnicity: *
Please select your gender: *
Are you transgender? *
Please select your age range: *
What type of organization best describes your current position? *
Undergraduate institution and/or degree:
Graduate institution and/or degree:
How did you hear about ELGL? *
If you selected "a friend or colleague," or "other," please tell us who referred you to ELGL. We send out cool swag to say thanks for being awesome. :)
Sign up to receive occasional text messages from Engaging Local Government Leaders (ELGL) about ELGL programs, events, and local government topics. We won't spam your phone and we promise that the text messages will be delightful and helpful. And, you can opt out at anytime. Do you opt in receive occasional text messages from ELGL about cool local gov stuff, ELGL programs, and events? *
What's your phone number for texting (please enter in 5559991212 format)?
Submit
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