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Membership Level
*
$50
-
Level 2 (IL Secretary of State Grantee)
$150
-
Level 1 (Non IL Secretary of State Grantee)
$200
-
Level 2 (Non IL Secretary of State Grantee)
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Contact Information
Organization Name
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Neighborhood/ Communities served by this organization
Primary Contact
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First Name
Last Name
Name of Executive Director (if not same as primary contact above)
First Name
Last Name
Email of Executive Director
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Primary Contact Email Address
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Programs offered by your organization
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Check all that apply
Adult Literacy
English as a Second or Learning Language (ESL/ELL)
Adult Basic Education - High School Diploma
Citizenship/Civics
Health Literacy
Digital Literacy
Spanish Literacy
Workforce Development
Family Literacy
Other
Other Program Offered
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