Florida Association on Higher Education and Disability (FL-AHEAD) Membership Application 2020-2021
FL-AHEAD is a non-Profit Organization (501-C3) TAX ID: 26-3552306
The following form is for all new and returning members to the FL-AHEAD affiliate. The membership year lasts from July 1st - June 30th.
If you have any questions regarding the application or would like to request the form in an alternative format, please contact Ashley Gorion at
New Member - Welcome to this great network of professionals!
Renewal - So glad to have you back!
Membership period runs 7/1/20 - 6/30/21. Memberships will not be pro-rated.
Individual Professional ($25.00)
Institutional Basic - 3 Members ($70.00)
Institutional Plus - 5 Members ($100.00)
Pre-Professional/ Graduate Student ($15.00)
Emeritus Professional ($10.00)
What do you/your institution hope to gain from your FL-AHEAD membership this year?
As an accommodation for a disability, please provide printed Association materials in (on):
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