Application For Membership in AIHEC

Send completed application for membership form and required documentation to:

Chair
AIHEC Board of Directors
121 Oronoco Street
Alexandria, VA 22314

Please answer all questions in this application and submit documents as requested. An incomplete application will be returned for completion. State "Not Applicable" if a particular question does not apply to your institution.
Date
Select MEMBERSHIP CLASS for this application 
Include supporting documentation for Membership Class selected.
NAME of Institution
ADDRESS
TELEPHONE
 E-MAIL of Contact
Chief Executive Officer
NAME   TITLE   E-MAIL 
Additional Corporate Officers—Exclude academic officers if these individuals are not corporate officers.
NAME  TITLE
NAME  TITLE
NAME  TITLE
NAME  TITLE
NAME  TITLE
DATE of Establishment
Chartering Body for the Institution—List name of entity(ies).
TRIBE STATE
Attach confirmed copies of ARTICLES or CHARTER, with amendments, if any.
Provide brief NARRATIVE DESCRIPTION of institution, administration, facilities, curriculum, services, etc.
List the NAMES and TRIBAL AFFILIATION of each of the current members of your institution's board of directors or board of regents.
NAME  TRIBE
NAME  TRIBE
NAME  TRIBE
NAME  TRIBE
NAME  TRIBE
NAME  TRIBE
NAME  TRIBE
NAME  TRIBE
NAME  TRIBE
NAME  TRIBE
NAME  TRIBE
NAME  TRIBE
 

American Indian Higher Education Consortium · 121 Oronoco Street, VA. · 703.838.0400 · 703.838.0388 (Fax). Copyright © 2004–2008, AIHEC. All Rights Reserved.