April Membership 2025 (Online Payment)
Your Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Personal Bio or description:
Organizational Bio or description (if applicable):
Hide my profile from the public directory
No
Yes
More Information About You
Do you transition individuals from congregate settings to the community?
Yes
No
Do you Provide IL services to persons in rural areas?
Yes
No
What are your IL Strengths or the areas you could offer support to APRIL or other members?
What are your top 3 IL concerns that you would like to see APRIL address or highlight?
If your youth program staff would like info on our youth coordinator peer group, enter their email here:
example@example.com
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Choose Membership
Please review the different membership options below and choose the one (s) that best fits. Please note, some have votes in our annual elections, and some do not.
Choose your Membership Type
Voting
Non-voting
Non-voting Membership Options
Individual Membership who is not a consumer or individual with disability- $25
Organization Associate (Other organizations that do not meet the criteria to be a CIL or SILC organizational member)- $100
Voting Membership Options
Youth (ages 18-30 and individual with a disability: Voting) $10
Individual/consumer (Individual with a disability: Voting) $25
CIL or SILC with Core Budget of 1-100,000 (Voting) $100
CIL or SILC with Core Budget of 100,001-250,000 (Voting) $200
CIL or SILC with Core Budget of 250,001-500,000 (Voting) $300
CIL or SILC with Budget of 500,001-750,000 (Voting) $400
CIL or SILC with Budget of 750,001 + (Voting) $500
Organizational Membership Emails
This organizational membership includes email updates for one (1) primary email address at your organization. Please provide the address where membership correspondence should be sent. We recommend selecting a primary contact who can forward updates to other employees as needed. If you would like to add more employees to the Listserv, you may choose from two add-on options: add up to five employee emails for $50 annually, or add up to ten employee emails for $100 annually. For any questions, please contact Elissa Ellis at eellis@april-rural.org.
Email
example@example.com
Website URL
https://www.example.com
Additional Emails (Listserv Add-Ons):I f you would like to add more employees to the Listserv email list, you’ll need to select one of the following options:
Add up to 5 employee emails to the Listserv (+$50 annually)
Add up to 10 employee emails to the Listserv (+$100 annually)
None
Additional Email 1
example@example.com
Additional Email 2
example@example.com
Additional Email 3
example@example.com
Additional Email 4
example@example.com
Additional Email 5
example@example.com
Additional Email 6
example@example.com
Additional Email 7
example@example.com
Additional Email 8
example@example.com
Additional Email 9
example@example.com
Additional Email 10
example@example.com
Additional Membership
Below you have the option of adding on additional memberships to your order for Satellite offices, or other individuals or youth your organization is sponsoring that is not yourself. Please note that additional satellite memberships do not receive their own vote. The vote goes to the main CIL office that is a member.
Enter the number of Satellite Office Memberships ($25 a piece) Note that they do not get their own vote in elections
Email address for Satellite office
example@example.com
Additional Email Address If Needed
example@example.com
Satellite office name, city and state for all additional offices
Total Amount Due ($):
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Total Amount Due ($):
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USD
Description
Payment Methods
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