2024/2025 ACSIWC School Membership Renewal

2026/2027 ACSI Western Canada School Membership

Thank you for 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, first submit your form as is and then contact Denise at denise_daniel@acsi.org. Note that Denise only works Fridays so response may be delayed.
School Information
We are
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 Contacts
Main Email — This address will be used for general ACSI correspondence that is not directed to a specific role or contact.
example@example.com
School Administration — Add rows for additional administrators including Society Directors if applicable. These addresses will be used for role-specific newsletters, updates, and direct correspondence with Heads of School, Principals, and Society Directors.
Voting Representative — This individual will represent your school at the Annual General Meeting (Virtual) and other membership votes.

First NameLast Name
Voting Representative Email
example@example.com
School Board Chair Name — This address will be used for Board-specific newsletters, updates, and direct correspondence.

First NameLast Name
School Board Chair Email
example@example.com
Career/Guidance Counseling Contact — This address will be shared with our eight ACSI Western Canada Higher Education members to provide students with post-secondary education, career, and pathway information.

First NameLast Name
Career/Guidance Counseling Email
example@example.com
I consent to ACSI Western Canada sharing this contact information with approved ACSI Higher Education members for the purpose of providing post-secondary education and pathway information.
Spiritual Formation Contact (e.g., Chaplain, Director of Discipleship, Spiritual Life Director, Campus Pastor) — This address will be used to share spiritual formation resources, support, training, cohort opportunities, and other related initiatives.

First NameLast Name
Spiritual Formation Contact 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 (Leadership Network Meetings, Stronger Together Summit)
- Educator Events (Teacher Convention, Professional Development Days)
- Student Events (SLC Retreats, 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:

Hidden Fields
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
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

If you have questions about your membership fees, please submit your form first and then contact Denise at denise_daniel@acsi.org.
ACSI Western Canada Fees

1-700 students — $21.00/FTE; 701+ students — $5.50/FTE
FISA (BC Schools only)

$7.75/FTE
ACSI Western Canada/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 ACSI Western Canada, 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
In the spring of 2026, ACSI Western Canada members approved an expanded Statement of Faith. We encourage all schools to review the updated Statement of Faith before signing below. STATEMENT OF FAITH

As part of the annual membership renewal process, member schools are asked to affirm their agreement with the ACSI Statement of Faith. While schools maintain their own institutional statements of faith, membership in ACSI Western Canada reflects an understanding of and agreement with the ACSI Statement of Faith.
I have read and agree with the ACSI Western Canada Statement of Faith.
Signature
Name of Signee

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

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Should be Empty:

2026/2027 ACSI Western Canada School Membership

School Information

School Contacts

Event Contacts

Staff and Student Enrollment

Hidden Fields

Event Information Contacts

Membership Fees

ACSI Western Canada Fees

FISA (BC Schools only)

ACSI Western Canada/SCSBC Joint Member (BC Schools only)

Payment Information

E-transfer

Cheque

Signature