STAFF MEMBERSHIP APPLICATION
2021-22 MCAA Membership Application
The annual membership term runs from September 1st through August 31st of the following year, congruent with each school year.
School Membership ($200/ year) - covers up to 10 staff members. $20 / person for each additional staff member
School or Organization
School Representative - Cell Phone Number
School Representative - Personal Email
School's Twitter Handle
Mail Payment, Registration Form and contact list to the address below. Forms can also be emailed to Nadia Leverette at
Payments: If your school requires a vendor form or Invoice, please download it from the website.
CHECK: Please make check payable to Minority Coaches of Alabama. Mail checks to: Minority Coaches of Alabama Attention: Rueben Nelson 700 60th street Fairfield, AL 35064
ALL FORMS CAN BE FOUND ON THE WEBSITE UNDER DOWNLOADS.
A copy of your responses will be emailed to the address you provided.
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