Membership Registration Email* Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Job Title*Company/Organization*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Number of Veteran/Military Affiliated Students:*OPEID*The Office of Postsecondary Education Identification (OPE ID) number is assigned by the U.S. Department of Education to identify schools that have Program Participation Agreements (PPA) so that its students are eligible to participate in Federal Student Financial Assistance programs under Title IV regulations.Membership CertificateYes, our institution would like a NAVPA membership certificateNo, our institution does not require a NAVPA membership certificateSelect Payment Method*Credit CardCheckMembership Type - Credit Card*Institutional MembershipAssociate MembershipAuxiliary MembershipMembership Type - Check*Institutional Membership $175Auxiliary Membership $50Associate Membership $100Institutional Membership – $175 Annually Educational or training institutions which have a VA facility code and which serve the interests and needs of the student veteran community, comprise this membership type. Examples of this type include: colleges, universities, technical, business, vocational, and eleemosynary schools. This membership may bear one (1) vote, and members may seek to hold office within the Association. This membership type shall be awarded to only one institution under a single OPEID number, as designated by the institution’s leadership. Other branch campuses may then seek auxiliary membership, as described below: Auxilary Membership – $50 Annually Branch campuses or extension centers of member institutions that share the same OPEID as an existing institutional member, shall comprise this membership type. This membership does not have the right to vote or hold any office in the Association, unless the primary institutional membership yields their vote and/or right to hold office. To apply for auxiliary membership, an institution under the same OPEID must already have a paid institutional membership on file. Campus locations with a unique OPEID number are not eligible for an auxiliary membership. These institutions may seek an institutional membership with all rights therein, as described above. Associate Membership – $100 Annually Individuals, institutions, organizations and/or agencies which serve the interests and needs of the student veteran community but do not have a VA facility code, shall comprise this membership type. Examples of this type include, but are not limited to: veteran service organizations, counseling or therapeutic facilities, and employment agencies. This membership shall bear one (1) vote, but members shall be prohibited from holding any office within the Association.NAVPA Listserv*As a member of NAVPA you are entitled to add up to five people to our community listserv. Please provide the email addresses of the people you would like to add below:Check Payment* I understandFor members paying by check, please remit payment to the following address: NAVPA Attn: Membership 2020 Pennsylvania Ave NW Ste. 1975 Washington, D.C. 20006-1811 Membership will be considered pending until payment is processed. If no payment is received within 45 days from completion of the membership form online, NAVPA will remove the membership.Refund Policy I agree to the refund policy.NAVPA Membership is non-refundable once payment has been submitted. CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.