TNOYS Organizational Membership

Application for TNOYS Organizational Membership

Fiscal Year 2021 (Sept. 2020 - Sept, 2021)
Thank you for your interest in joining TNOYS as a member organization!

TNOYS' members share a vision of Texas where all youth and young adults are valued, their strengths are recognized, their voices are heard and respected, and they have access to the resources, opportunities, and support they need to meet their goals.

As laid out in TNOYS' strategic plan, we advance our mission through a three-pronged approach to systems change: policy, practice, and partnership.

We use our unique comprehensive systems change approach to focus in on key value areas that research indicates are key to achieving our vision of a healthy future for Texas:
1. Equity and Inclusion
2. Youth Voice and Youth/Adult Partnership
3. Research & Performance-Driven Policy and Practice
4. Cross-Systems Collaboration
Do you agree to uphold the values of TNOYS as described above? *

Yes No
Organization's Information

Please enter the below information about your organization
Organization Name *
Organization's Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Organization's Website: *
Organization's Facebook Page:
Organization's Twitter Handle:
Organization's Instagram Handle:
Please check each of the following categories that applies to your organization. Those that meet all criteria are eligible for "Organization" membership, which allows your organization 5 votes at membership meetings. Those who do not meet the criteria are eligible for "Associate" membership, which allows for 1 vote at membership meetings. *

My Organization is a Private Nonprofit My Organization has a Board of Directors or Independent Advisory Board My Organization accepts self-referred clients I am applying for "Associate" membership
Membership Dues

Membership dues range from $250 to $2,200 annually, based on the member organization's annual budget. The following chart will help you determine your dues for fiscal year 2021.

Member Organization Budget	Dues
$0 - $249,999	$250
$250,000 - $499,999	$450
$500,000 - $999,999	$550
$1,000,000 - $2,499,999	$850
$2,500,000 - $4,999,999	$1,200
$5,000,000 - $7,999,999	$1,350
$8,000,000 - $9,999,999	$1,450
$10,000,000 - $19,999,999	$1,750
$20,000,000 - $30,000,000	$2,050
$30,000,000+	$2,200

Primary Contact
Full Name *

First Name Last Name
Title *
E-mail *
example@example.com
Phone Number *
Secondary Contact

Please include a secondary contact if available
Full Name

First Name Last Name
Title
E-mail
example@example.com
Phone Number
Tell us more about your organization
Do you have more than one physical location? If so, please input all cities where you are located
What is your organization's annual budget? *

$0-‐$249,999 $250,000-‐$499,999 $500,000-‐$999,999 $1,000,000-‐$2,499,999 $2,500,000-‐$4,999,999 $5,000,000-‐$7,999,999 $8,000,000-‐$9,999,999 $10,000,000-‐$19,999,999 $20,000,000-‐$30,000,000 $30,000,000+
Approximately how many employees do you have? *
What type of organization are you? *

Non-profit organization For-profit business Government entity Other
What types of services do you provide? (select all that apply) *

Residential Community-Based School- Based Other
Please select all residential services you offer:

Emergency Shelter Residential Treatment Center Child Placing Agency Supervised Independent Living Transitional Living Program Shelter for families experiencing homelessness Shelter for youth or young adults experiencing homelessness Housing for youth or young adults experiencing homelessness Other
Please select all community-based services you offer:

Prevention and Early Intervention Services (not FAYS) Family and Youth Services (FAYS), formerly known as STAR Drop-in Center Advocacy Mentoring Mental health Substance use treatment Substance use screening Other
Please select all school-based services you offer:

Communities in Schools Mentoring Homeless Liaisons Foster Care Liaisons Other
Does your organization operate a youth council/leadership council for current or previous clients? *

Yes No
In the average year, roughly how many youth does your organization serve? *
In the average year, roughly how many families does your organization serve? *
Tell us more about your clients
What age groups does your organization serve? (select all that apply): *

0 - 3 years 3 - 6 years 6 - 9 years 10 - 13 years 13 - 17 years 18 years 19 - 21 years 21 and older Families (youth and parents) Other
What is the racial/ethnic makeup of the clients that you serve? Please list percentages below:
How does your organization receive referrals?

Schools Child welfare system/CPS From parents Self referral Juvenile justice system Criminal justice system Law enforcement Local mental health authority Community Resource Coordination Groups (CRCG) Other youth-serving organizations not included above Other
Does your organization provide services for any of the following populations?

Pregnant youth Parenting youth Youth victims of commercial sexual exploitation/ trafficking Sex offenders/youth with a history of sexual aggression Justice involved youth LGBTQ+ Youth with Intellectual Disabilities (IQ below 70) Non-english speaking youth Migrant or refugee youth
Is there anything else about your organization that you think TNOYS should know?
How are you hoping to benefit from your TNOYS membership?
Please select the option below that best describes your organization's service area. If you operate a residential facility that will accept youth from anywhere in the state, please select “statewide”. If you provide community-based services and operate a residential facility that serves from anywhere in Texas, please select both options.

My organization provides services statewide My organization provides services to youth and families from a specific county or counties None of the above
Please list all counties where your organization provides services
TNOYS MEMBERS AGREE TO:
- Accept responsibility and accountability for quality and professional competence, avoiding even the
  appearance of professional impropriety;
- Conduct professional affairs in a manner which will avoid any exploitation of, or embarrassment to, themselves, TNOYS, and/or TNOYS members;
- Treat clients with respect and impartiality, respecting differing beliefs and backgrounds. Above all, clients should be allowed every opportunity to retain their personal dignity;
- Seek opportunity for personal and professional development for themselves, staff, and volunteers;
- Commit professional leadership to the achievement of the highest level of service to the community;
- Conduct programmatic endeavors with respect for existing programs within the network; maintain/respect the scope of ongoing, existing programs;
- Manage information and preserve confidentiality gained through professional relationships in a responsible manner. While sharing of programmatic developments and ideas is a critical aspect of networking, the right to control the use of its original materials must be respected.
WITHIN THE BOUNDS OF THE CORPORATION’S BY-LAWS, TNOYS AGREES TO:
- Assist in maintaining the integrity and competence of the members;
- Assist in preventing unlawful, unauthorized, and dangerous practices;
- Preserve the confidences of members and clients;
- Advocate on behalf of members and clients within the bounds of the law;
- Assist in improving the delivery of human services.
Signature *

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Date *
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Application for TNOYS Organizational Membership

Organization's Information

Membership Dues

Primary Contact

Secondary Contact

Tell us more about your organization

Tell us more about your clients