Online Membership Form

DIRECTIONS: The following online form may be used by new and member school districts to renew their membership. Please complete the form and press "Submit" at the bottom of the form.

Be sure to print a copy of the form to use as an invoice. The membership year runs from August 1 - July 31.

School District/ESU Name

District Superintendent First Name

Middle

Last

Superintendent Email Address

Address

City/Town

State

ZIP

District Phone Number

District Fax Number

Additional Contacts

Please choose how you would like to provide additional contacts.

Enter Contacts into this Form

Upload a File of Contacts

Board President Name

Board President Email

Board Member #2 Name

Board Member #2 Email

Board Member #3 Name

Board Member #3 Email

Board Member #4 Name

Board Member #4 Email

Board Member #5 Name

Board Member #5 Email

Board Member #6 Name

Board Member #6 Email

Principal Name

Principal Email

Other Administrator Name

Other Administrator Email

Contacts File Upload

One file only.
10 MB limit.
Allowed types: pdf, xls, xlsx, doc, docx, txt, rtf.

Dues Statement:
Annual NRCSA Membership Dues are $850 per school district.

Invoice:
A copy of your completed form will be emailed to after you submit. Please provide this to your business office.

Contacts Fields