Oakland Literacy Coalition Member Network Registration

Child and adult giving a thumbs up and smiling.

Eligibility

Are you an incorporated organization, fiscally sponsored project, or public agency?

YesNoOther

If other, please specify:

Do you provide services in Oakland, CA?

YesNo

Please Contact Us Before Continuing Your Registration

Thank you for your interest. At this time, participation in our Member Network is only available to organizations that operate or provide services in Oakland, CA.

If you are an individual, public agency, or funder who would like to learn more about how to get involved, please contact Sanam Jorjani at sanam@oaklandliteracycoalition.org.

If you would like to stay connected with the OLC and opportunities to attend events or access resources available to all of our partners, please sign up for our email list

Organization Details

Organization Name

Organization EIN

Please provide your 9-digit EIN number.

Organization Operating Budget

Please enter a dollar amount for your annual operating budget as a number with no decimals or special symbols ($).

Website

Main Phone Number

Mailing Address

Street Address

Address Line 2

City

State

Postal/ Zip Code

Organization Mission & Overview: In a few sentences please share your mission and give a quick description of your organization's history and vision. This information will be used to populate your profile on our Member Network Directory.

Core Programs: In a few sentences, please describe your organization's core programs including who your program serves and where programs are delivered (e.g. school sites vs community locations). This information will be used to populate your profile on our Member Network Directory.

Please share why your organization is joining the Member Network. In a few sentences please share your organization's connection, philosophy, and approach to literacy and what impact your organization hopes to make through joining the OLC Member Network.

What services are you interested in receiving through the Member Network?

Professional developmentAccess to the school districtNetworking and connecting with colleagues in the fieldResources and funding opportunitiesAdvocacy opportunitiesCollaborations and partnershipsOpportunities to promote your organizationPlease select all that apply.

Please let us know your organization's social media handles:

Please upload a JPEG or PNG version of your logo. We will use it to create your profile in our Member Directory.

Membership Logistics Contact

Please share the information for the person who will serve as your organization's contact for communications regarding your membership logistics, including registration, renewal, and payment.

First Name

Last Name

Title

Email

Phone

Primary Member Network Communications Contact

Please provide up to two contacts from your organization as primary and secondary points of contact that you want to receive regular correspondence from the OLC. The OLC will send these contacts communications regarding Member Network program opportunities, news, and announcements.

Please note that Member Network activities and resources are available to all member organization staff and volunteers, not just the contacts listed here.

Will the membership logistics contact listed above also serve as your primary contact for Member Network program communications?

YesNo

Primary Contact First Name

Primary Contact Last Name

Primary Contact Title

Primary Contact Email

Primary Contact Phone

Primary Contact First Name

Primary Contact Last Name

Primary Contact Title

Primary Contact Email

Primary Contact Phone

Secondary Member Network Communications Contact

Secondary Contact First Name

Secondary Contact Last Name

Secondary Contact Title

Secondary Contact Email

Secondary Contact Phone

Membership Fee

Membership Rate (please select)

$250-- Regular membership$100-- Discounted rate for small organizations (operating budget under $200K)

Hardship discounts are available in cases where truly needed and are subject to the discretion of the Oakland Literacy Coalition. To request a hardship rate, please give us a call at (510) 280-3547. If requesting a hardship rate, please wait to submit your membership registration until after speaking with the OLC team.

How will your organization be paying?

Credit Card (secure via Stripe)Check

Payment Information

Name on Card

Card Number

MM

YY

Security Code

Billing Email

Payment Information

Please make your check payable to the "Oakland Literacy Coalition, Inc." and mail to our office:

Attn: Cassie Perham
Oakland Literacy Coalition

2744 E 11th St. Suite A10

Oakland, CA 94601

Membership will become active upon submission of the registration form.

Payment is due within 30 days of registration.

By signing below, I certify that that all of the information provided in the registration form is complete and accurate to the best of my knowledge. (Please type your full name)