2024/2025 ACSIWC School Membership Renewal

2025/2026 ACSIWC School Membership Renewal

Thank you for renewing your ACSI membership! We are so glad you are here! It is important that all information be current and complete because this information affects services to your school. If you have questions or you require adjustments to totals, submit your form as is and contact Denise at denise_daniel@acsi.org. Note Denise only works Fridays so response may be delayed.
School Information
School Name:*
How many schools are in the system? (The minimum is one.)*
School Society Name (if applicable):
School Office Email*
example@example.com
School Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Physical Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Mailing Address (if different than above)

Mailing Address

Mailing Address Line 2

CityProvince

Postal Code
Upload a photo of your school to be used in communication and social media.*

Cancelof

School Administration
Main Email*
example@example.com
Representative authorized to vote on behalf of school*

First NameLast Name
Voting Rep Email*
example@example.com
Administrator 1 Name*

First NameLast Name
Administrator 1 Title*
Head of School, Principal, etc.
Administrator 1 Email*
example@example.com
Administrator 2 Name

First NameLast Name
Administrator 2 Title
Head of School, Principal, etc.
Administrator 2 Email
example@example.com
Administrator 3 Name

First NameLast Name
Administrator 3 Title
Head of School, Principal, etc.
Administrator 3 Email
example@example.com
Administrator 4 Name

First NameLast Name
Administrator 4 Title
Head of School, Principal, etc.
Administrator 4 Email
example@example.com
Administrator 5 Name

First NameLast Name
Administrator 5 Title
Head of School, Principal, etc.
Administrator 5 Email
example@example.com
Administrator 6 Name

First NameLast Name
Administrator 6 Title
Head of School, Principal, etc.
Administrator 6 Email
example@example.com
School Board Chair Name*

First NameLast Name
School Board Chair Email*
example@example.com
Who is the right contact for Career/Guidance Counselling in your school?*

First NameLast Name
Career/Guidance Counselling Email*
example@example.com
Event Contacts

We appreciate your help in streamlining our communication process. Your input helps us connect each person with the updates that matter most to them. This ensures our communications serve the unique needs of our diverse audience and supports the success of our events. Thank you for your cooperation!
- Administrator Events (Provincial District Meetings, Administrator/Board Conference)
- Educator Events (Teacher Convention, Professional Development Days)
- Student Events (Leadership Conference, Musicale, Drama Xchange)

Event Contacts (Please include first and last names)

Rows	Name 1	Email 1	Name 2	Email 2
Administrator Events
Educator Events
Student Events

Staff and Student Enrollment

Enter the number of students at each grade level based on the following formulation. FTE is the September 30 enrollment total. A preschool student counts as .25, a kindergarten student counts as .5, and any other student counts as 1.0. Head Count (HC) is the total actual number of students, both Full and Part time. Each student = 1
Number of full-time administrators*
Number of part-time administrators*
Number of full-time teachers*
Number of part-time teachers*
Preschool FTE*
Kindergarten FTE*
Grade 1 FTE*
Grade 2 FTE*
Grade 3 FTE*
Grade 4 FTE*
Grade 5 FTE*
Grade 6 FTE*
Grade 7 FTE*
Grade 8 FTE*
Grade 9 FTE*
Grade 10 FTE*
Grade 11 FTE*
Grade 12 FTE*
Actual Head Count (Preschool-Grade 12)*
Online Classroom FTE*
Traditional Classroom FTE*
Hybrid Classroom FTE*
FTE (0-700 Students)
FTE (Over 700 Students)
Total FTE
ACSI Membership Type:*

Event Information Contacts

We appreciate your help in streamlining our communication process. Your input helps us connect each person with the updates that matter most to them. This ensures our communications serve the unique needs of our diverse audience and supports the success of our events. Thank you for your cooperation!Administrator Events (Provincial District Meetings, Administrator/Board Conference)Educator Events (Teacher Convention, Professional Development Days)Student Events (Leadership Conference, Musicale, Drama Xchange)
Administrator Events including Provincial District Meetings, Administrator/Board Conference (List First and last names and email addresses)
Educator Events including Teacher Convention, Professional Development Days (List First and last names and email addresses)
Student Events including Leadership Conference, Musicale, Drama Xchange (List First and last names and email addresses)

Membership Fees
ACSIWC Fees

1-700 students — $20.50/FTE; 701+ students — $5.35/FTE
FISA (BC Schools only)

$7.75/FTE
ACSIWC/SCSBC Joint Member (BC Schools only)

$11.50/FTE
ACSIWC Membership Fee (0-700 FTE)
ACSIWC Membership Fee (701+ FTE)
FISA Membership Fee
BC Member Total Amount Due
BC Joint Member Total Amount Due
AB/SK/MB Member Total Amount Due
Total Fees Due
Payment Information

Two payment options — e-transfer or cheque
E-transfer

Send to payments@acsiwc.org. Be sure to include the name of your school and what the payment is for (i.e. Membership) in the description.
Cheque

Send to ACSIWC, 44 Willow Brook Drive NW, Airdrie, AB T4B 2J5. Be sure to include the name of your school and what the payment is for (i.e. Membership) in the description.
Signature
YesNo
Signature*

Clear
Name of Signee*

First NameLast Name
Email Address of Signee*
Job Title of Signee*
Form Completed by*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

2025/2026 ACSIWC School Membership Renewal

School Information

School Administration

Event Contacts

Staff and Student Enrollment

Event Information Contacts

Membership Fees

ACSIWC Fees

FISA (BC Schools only)

ACSIWC/SCSBC Joint Member (BC Schools only)

Payment Information

E-transfer

Cheque

Signature