APPLICATION FOR MEMBERSHIP
Submission of your application constitutes your acceptance of IAC’s Ethical Standard. Please click onto this link to review it.
I. ORGANIZATIONAL INFORMATION
MEMBERSHIP TYPE: If your agency provides direct services to individuals with I/DD and is located in New York City, Long Island, Westchester or Rockland select REGULAR. If you are a direct services provider located outside of this catchment area, select ASSOCIATE. If your agency is a parent, advocacy or community group that does not provide direct services, select AFFILIATE. If your company provides services to the not-for-profit community, select SUBSCRIBING. If you wish to act as a SPONSOR, please select SUBSCRIBING and then select sponsorship type on the application. Please be sure to complete all fields or your applicaiton will not be processed. ENTER NAME OF ORGANIZATION BEFORE SELECTING MEMBERSHIP TYPE.
Main Office Information
Agency Service Scope
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