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Organization Information
Section Description
Required: This information is
required
whenever individuals at colleges/universities are the primary audience for your form.
In which state/province is your institution located?
Select "Remote/Hybrid" if your organization is not based in a specific State/Province.
What is your institutional affiliation?
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Membership Status
Membership Status Defined
Pending Renewal:
Previously active member with a renewal invoice for the current fiscal year. Applied at the start of the fiscal year to institutions active in the previous one. [Current FY dues are still due.]
Active:
Member institution in good standing. Dues are paid and current.
Inactive:
Non-Member Institution.
Lapsed Commitment:
The institution committed to membership in the previous fiscal year, participated in a program for which membership was required (e.g. VISTA), but has not paid that year’s dues.
Consult with the membership team before discussing membership
or
admitting to any member-required program.
Contact Information
Section Description
Please do not remove any of the required questions in this section from your application. These are designed to help us build out profiles on the people involved in our programs.
First Name
Last Name
Primary Role
Please select...
Academic Dean
Campus Compact Staff
Chief Academic Officer
Chief Administrator (CEO)
Chief Community Engagement Officer
Chief Diversity, Equity, Inclusion Officer
Chief Governmental Affairs Officer
Chief Student Affairs Officer
Community Engagement Professional
Community Partner
Faculty/Instructor
Student
Staff
Other
Please select the options that most accurately describes your current role.
Title
Students are welcome to include a title that's important to them (e.g. Student Government President) or to simply type "student".
Email
Phone Number
Application Information
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required.
Please change the text to the appropriate application type [options > placeholder]. It is
hidden
from end users.
Please confirm the Application Type, Program Cohort Name, and Program Name with Membership.
Program Program
State 2 Digit
Account ID