CCCOER/Committees/membership/proposed application
Please consider the Membership application form provided below
When accompanied by an explanatory membership brochure/web page, is this application sufficient from a new member's point of view?
When received by the Membership Committee, does this application give enough information to make a recommendation to accept or deny membership?
Please use the discussion tab above to post comments.
Membership Application
The mission of the Community College Consortium for Open Educational Resources (CCCOER) is to promote the creation, publication, dissemination, and use of high quality, open licensed learning and teaching materials (including but not limited to textbooks, courseware, lessons, question banks and other educational resources) primarily intended for use by learners, educators and institutions engaged in the first two years of post-secondary education.
The applicant below subscribes to the Mission of CCCOER, agrees to support the purposes of CCCOER and to be governed by the CCCOER Bylaws in related matters.
Applicant Name: ________________________________________________
Applicant is ____ an individual or ____ an institution/organization
If institution/organization, please characterize ____________________________
(for example: 2-yr college, state association, independent nonprofit organization, int’l NGO, etc.)
Primary Contact Last Name ________________ First Name ____________
Primary Contact Preferred Email Address ___________________________
Primary Contact Alternate Email Address ___________________________
Primary Contact Telephone _______________________________________
Primary Contact Postal Address _________________________________________________________ _________________________________________________________
_________________________________________________________
Secondary Contact Last Name ________________ First Name ____________
Secondary Contact Preferred Email Address ___________________________
Secondary Contact Alternate Email Address ___________________________
Secondary Contact Telephone _______________________________________
Secondary Contact Postal Address _________________________________________________________ _________________________________________________________
_________________________________________________________
Membership Level Annual dues 3- year dues Circle Payment Method
Copper $90 $189 PP MC V C O_________________
Silver $250 $525 PP MC V C O_________________
Gold $500 $1,050 PP MC V C O_________________
Platinum $5,000 $10, 500 PP MC V C O_________________
Payment methods are: PP Pay Pal, MC Master Card, V Visa Card, C check, O Other (specify)
(To substitute in-kind donation for any portion of cash membership dues, please contact Treasurer with written proposal.)
Administrative Authorization to join CCCOER by (
(printed name) _________________________________(title) __________________________
Signature _________________________________________ date _______________
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