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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.

ENTER NAME OF ORGANIZATION BEFORE SELECTING MEMBERSHIP TYPE.

Organization Information

Main Office Information

Agency Service Scope

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