2026/2027 ACSIWC Higher Education Membership Renewal

2026/2027 ACSI Western Canada Higher Education 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 Denise only works Fridays so response may be delayed.
School Information
We are
Institution Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Office Email
example@example.com
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

Administration
Main Email — This address will be used for general ACSI correspondence that is not directed to a specific role or contact.
example@example.com
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
ACSI Liaison Name

First NameLast Name
ACSI Liaison Job Title
Head of School, Principal, etc.
ACSI Liaison Email
example@example.com
President Name

First NameLast Name
Please list any benefits you offer to ACSI member school students, such as scholarships, reduced student event fees, etc.

Staff and Student Enrollment

FTE: Full Time Equivalent
Number of full-time professors
Number of part-time professors
Total Enrollment

Membership Fees

If you have questions about your membership fees, please submit your form first and then contact Denise at denise_daniel@acsi.org.
Higher Ed. Enrolment Bracket (2.5% increase)

0 – 250: $505.00

251 – 500: $815.00

501 – 1,000: $995.00

1,001 – 1,500: $1,060.00

1,501 – 2,000: $1,120.00

2,001 or more: $1,200.00
Range 0-250
Range 251-500
Range 501-1000
Range 1001-1500
Range 1501-2000
Range 2001+
Total Fees Due
Payment Information

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 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 yearDate
Should be Empty:

2026/2027 ACSI Western Canada Higher Education Membership

School Information

Administration

Staff and Student Enrollment

Membership Fees

Payment Information

E-transfer

Cheque

Signature