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
Regular Member
Associate Member
International Member
Organization Member
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
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