2024/2025 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.
Physical Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Mailing Address (if different than above)
Mailing Address
Mailing Address Line 2
City
Province
Postal Code
Upload a photo of your school to be used in communication and social media.
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School Administration
Main Email
*
example@example.com
Representative authorized to vote on behalf of school
*
First Name
Last Name
Voting Rep Email
*
example@example.com
Administrator 1 Name
*
First Name
Last Name
Administrator 1 Title
*
Head of School, Principal, etc.
Administrator 1 Email
*
example@example.com
Administrator 2 Name
First Name
Last Name
Administrator 2 Title
Head of School, Principal, etc.
Administrator 2 Email
example@example.com
Administrator 3 Name
First Name
Last Name
Administrator 3 Title
Head of School, Principal, etc.
Administrator 3 Email
example@example.com
Administrator 4 Name
First Name
Last Name
Administrator 4 Title
Head of School, Principal, etc.
Administrator 4 Email
example@example.com
Administrator 5 Name
First Name
Last Name
Administrator 5 Title
Head of School, Principal, etc.
Administrator 5 Email
example@example.com
Administrator 6 Name
First Name
Last Name
Administrator 6 Title
Head of School, Principal, etc.
Administrator 6 Email
example@example.com
School Board Chair Name
*
First Name
Last Name
School Board Chair Email
*
example@example.com
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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:
*
Please Select
-- Select an option below --
BC ACSI Member
BC ACSI/SCSBC Joint Member
AB, SK, or MB ACSI Member
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Event Information Contacts
We appreciate you helping us streamline our communication process. By providing us with the name and email address of each individual to receive information, you allow us to tailor our communications to best suit the needs of our diverse audience. Thank you for your cooperation and contribution to making our events a success!
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)
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Membership Fees
ACSIWC Fees
1-700 students — $20.00/FTE; 701+ students — $5.25/FTE
FISA (BC Schools only)
$7.00/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
New payment option this year — pay by 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
I have read and agree with the ACSIWC Statement of Faith: https://www.acsiwc.org/statement-of-faith
*
Yes
No
Signature
*
Name of Signee
*
First Name
Last Name
Email Address of Signee
*
Job Title of Signee
*
Form Completed by
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
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