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 emily@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 answer
Your email address: *
Your answer
First Name: *
Your answer
Last Name *
Your answer
Your Birthday: *
Your answer
Your Organization Affiliation: *
Your answer
Your Job Title:
Your answer
Phone Number: *
Your answer
Street Address:
Your answer
City:
Your answer
Region/State:
Your answer
Zip Code
Your answer
Country:
Your answer
Facebook Profile:
Your answer
Twitter handle:
Your answer
LinkedIn Profile:
Your answer
What population does your position serve? *
Please select your ethnicity: *
Please select your gender (note that cisgender refers to identifying with the gender with which you were born): *
Please select your age range: *
What type of organization best describes your current position? *
Undergraduate institution and/or degree:
Your answer
Graduate institution and/or degree:
Your answer
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. :)
Your answer
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)?
Your answer
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