Test-membership-salesforce Membership Application Purpose and Vision for Membership:We are a coalition of people who support the healing of boarding school survivors and descendants. We use our coalition voice to educate others about the truth of the Boarding School Policies, experiences, and legacy. We call for action towards justice and healing. We use our network to share research, healing resources, and advocacy. We learn from one another, and we grow and heal together. What Membership Means:As a Coalition member, you will...• Be counted as a supporter of our mission and work• Receive a 10% member discount on all shopify items• Be invited to attend the annual membership meeting, nominate and vote for board members (only Regular members can vote) as well as be eligible to serve on the Board of Directors and Coalition Committees (Regular members only). Would you like to sign up as an individual member or on behalf of an organization or Tribal Nation?Please select... Individual Organization Individual Membership We have two classes of membership: Regular and Affiliate.Regular Membership Qualifications:Member of federally recognized tribe with proof of enrollmentMember of non-federally recognized tribe with proof of membershipDescendant of federally recognized or non-federally recognized tribe with documentation of descendanceAffiliate Membership Qualifications:Indigenous, First Nations, or Aboriginal individual outside the U.S. Non-Native ally or any other individual without proof of tribal enrollment or descendance. Please Select Which Category you qualify forRegular MembershipAffiliate Membership Individual Information SalutationPlease select... Mr. Ms. Mrs. Mx. Dr. Prof. Rev. First Name Middle Name Last Name Personal Phone Personal Email Preferred PronounsPlease select... He/Him/His She/Her/Hers They/Them/Theirs Prefer Not To Say Other Other Preferred Pronouns Birth Year Address Street Address Line 1 Street Address Line 2 City StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Employer Information Organization/Employer Work Email Work Phone Survivor/Descendant Details As a child, were you placed in an Indian boarding school?YesNo Name of school attended Years attended (approximate) Did one of your biological parents, grandparents, great-grandparents or relatives attend an Indian boarding school?YesNo Name of Ancestor Name of school attended Years attended (approximate) Tribal affiliation details Please provide proof of Tribal Affiliation I am aPlease select... Member of a Federally Recognized Tribe Member of a non-federally recognized Tribe Descendant of Tribally enrolled Citizen Select Tribe Choose a tribe from the list My tribe is not listed Name of Tribe Type the name of the tribe Tribal Member Number Tribal Affiliation Documentation Tribe Account ID, Individual Membership Individual Interest Tell us about your reason for wanting to join the coalition What organizations, networks, or establishments do you belong to that could benefit the work of the Coalition? What are your areas of expertise or interest that apply to the stated mission of the Healing Coalition? Our Mission: "To lead in the pursuit of understanding and addressing the ongoing trauma created by the U.S. Indian Boarding School policy." x Please select any that apply to you:I am interested in donatingI am interested in volunteeringI have done or still do work with Indigenous communities on HealingI have published (or will publish) academic research on Indian boarding schoolsI am a studentI am retiredI am a working professional I work in the field of:Please select... Social Worker/Counselor Healing Work Religious/Church Leader Archivist/Library Sciences Academic Researcher K-12 Educator Other Other Related Field Organizational Membership We have two classes of membership: Regular and Affiliate.Regular Membership Qualifications:Tribal NationOrganization with more than half American Indian ownershipNative-led non-governmental organizationAffiliate Membership Qualifications:Indigenous, First Nations, or Aboriginal Nations or organizations outside the U.S. Any church, academic institution or non-Native organization Please Select Which Membership Category your organization qualifies forRegular MembershipAffiliate Membership Is your organization a tribal nation or another type of organization?Tribal nationAnother type of organization Tribal Nation This list is for Federally Recognized Tribes. If not Federally Recognized please select "Another type of organization". Tribe Account ID, Organizational Membership Organization Information Name of Organization Organization TypePlease select... Nonprofit/NGO Foundation Church/Religious organization College/University Business Tribe Other Other Organization Type Primary Phone Primary Email Mailing Street Address Line 1 Mailing Street Address Line 2 Mailing City Mailing StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Mailing Zip Code Website Would you like to add a Second, Physical Address?YesNo Entity Physical Address Street Address Line 1 Street Address Line 2 City StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Authorized Representative SalutationPlease select... Mr. Ms. Mrs. Mx. Dr. Prof. Rev. First Name Middle Name Last Name Title Representative Email Representative Phone Preferred PronounsPlease select... He/Him/His She/Her/Hers They/Them/Theirs Prefer Not To Say Other Other Preferred Pronouns Would you like to add a Second Authorized Representative?YesNo 2nd Authorized Representative SalutationPlease select... Mr. Ms. Mrs. Mx. Dr. Prof. Rev. First Name Middle Name Last Name Title Representative Email Representative Phone Preferred PronounsPlease select... He/Him/His She/Her/Hers They/Them/Theirs Prefer Not To Say Other Other Preferred Pronouns Organizational Interest Please provide a brief Description of your organization Tell us about your reason for wanting to join the coalition What programs are you most interested in hearing about from us?Curriculum and other educational resourcesHealing Voices Oral History ProjectArchives and records (digitization and tribal data sovereignty)ConsultationRepatriationResearch about Indian Boarding SchoolsFuture conferences and events How did you hear about us?Please select... Google Search Recommended by Friend or Colleague Social Media News Media or Publication Attended an Event Other Name of Friend/Colleague Other way you heard about us Electronic SignatureBy typing your name below, you attest that all the information in this application is true to the best of your knowledge and you agree that the National Native American Boarding School Healing Coalition (NABS) may use your personal information in accordance with our Privacy Policy (boardingschoolhealing.org/privacy) and may contact you regarding the work of the Coalition or the information on this application. Type Full Name Today's Date MM/DD/YYYY reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. Contact Information