Revised 02/13/2015

2015 m em bersh ip du es
The National Foster Care Coalition (NFCC) is a unique partnership of organizations and individuals,
dedicated to building public and political will to improve the lives of children, youth, and young adults
who are, or who have been, in foster care.
To continue our work: quarterly meetings, publication of a weekly newsletter, maintaining a website,
educating Washington policymakers including key Capitol Hill staff on the latest challenges within child
welfare we need your support!
Organizational Information (please indicate type of membership for which you are applying)
__National

__Associate

__Family/Alumni

__Individual

Primary Representative__________________________________________________________________
Organization __________________________________________________________________________
Address

___________________________________________________________________________

City ________________________________State_____________________________ Zip_____________

E-mail

______________________________________________________________________________

Phone ___________________________ Fax ___________________________

Organizations website __________________________________________________________________
Alternate representative ________________________________________________________________
E-mail ______________________________________________________________________________
Member Description
Organizational Mission
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
To acquaint NFCC Members with your organization, please provide a brief description of your
organization. Who is your constituency?
_____________________________________________________________________________________
_____________________________________________________________________________________

Questions? Email nationalfostercare@gmail.com

If applicable, how does your organization incorporate consumer voice?

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
How is your organization involved in ongoing advocacy efforts on behalf of children, youth and families?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Does your organization offer specialized expertise in particular area of child welfare or human services?
If so, please elaborate.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

If you are attaching additional materials, please specify below:

Organizational Brochure
Annual Report

Information on Special Initiatives

Other_____________________________

_____________________________________________
Signature

___________________________________
Date

2015 m em bersh ip du es
Membership Categories:
Questions? Email nationalfostercare@gmail.com

(Membership dues are annual and non-refundable. Check the box which applies to your level of
participation.)
___

National Non-Profit Organization, Corporation, Federal Government or

Foundation Member
Full voting member; eligible to serve on board and/or committees, participate in
all meetings, conferences and activities; receives all communications; other
organizational representatives may participate in meetings.

___

Associate Member Local, State, or Regional Non-Profit Organization,

Corporation, or Foundation
Eligible to participate in all meetings, conferences and activities; receives all
communications.

---

Affiliated Member --Local, State, or Regional organizations affiliated with duespaying National Organizations or Agencies
$100

___

Family and Alumni Members

N/C

Family, youth and other individuals invited to join NFCC to represent vital
consumer voices. Eligible to serve on board or committees, participate in all
meetings, conferences and activities; receives all communications.
___

Individual Member

$25

Professionals, consultants and individuals not a part of an agency or covered in

other membership categories. Eligible to participate in all meetings, conferences
and activities; receives all communications.

Dues Structure
(For National and Associate members, check the dues payment that applies to your
organization.)
Organizational Budget
NFCC Dues
Less than $1 million
$300_________
$1 - $2.9 million
$ 550________
$3 10 million
$ 750 _____
$10 million +
$1,250_____

Please mail dues payment and information to:

National Foster Care Coalition, 1220 L Street, NW, Suite 100-241, Washington, DC 20005
CHECK HERE IF YOU PAID BY CHARGE!
(Date of Charge: _________________________)

Questions? Email nationalfostercare@gmail.com