2026 Membership Form

Membership Application

Welcome to Single Parent Achievers (SPA)
To apply for membership, please complete all questions. All fields marked with an (*) must be filled out in order to proceed with your application.
Name*

First NameLast Name
Mobile Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Your Birthday*

MonthDayYear
SingleDivorceSeperatedWidow
Please share your career…*
Example - Administrative and Writing
Share Fun Facts about YOU…*
Social MediaSPA MemberFriend or Family MemberNewsOther
SmallMediumLargeX-LargeXX-Large
How many kids do you have?*
We have our Young Achievers Program (YAP) for young/older children available during the monthly meetings.
Please share names of your child(ren)? Example (Name - DOB - Age)*
What are you looking to get as a member of SPA?*
Single Parent of the Year - Membership Requirements:
- Must be an active member with dues paid in full
- Demonstrate consistent participation and engagement in program
- Application Instructions: Must complete Application, Assessment, and Dreams & Desires. Note: List your what gift you would like to received if selected
- The winner will be selected by a Board of Directors (Founder not involved)
📣 Again, The Single Parent Achiever of the Year honoree will be announced at the December meeting. Note: Impact Statement is only required if selected as a nominee, to become the SPA of the Year.
Scholarships for Membership Dues: Don't let financial obstacles stand in the way of connecting with Single Parent Achievers. If you need assistance, please email admin@singleparentachievers.org.
MEMBERSHIP FEE:
- Registration Fee $30 (Monthly Pmt. $30 x 11 months = $300)
  Pay In-Full $300
- Monthly Membership $30 (monthly), Payment needs to made before each session for total of 11 months
- Includes Discount % OFF Annual Gala Ticket!

PAYMENT PLAN:

Registration Fee

$30.00

Enter coupon

Total

$0.00

Requesting to pay $30 (Monthly - Approval Required)…you will be contacted by Membership Department.Paying $300 (Full Payment)
REFUND POLICY As a non-profit organization, our goal is to provide educational workshops & support. In order to guarantee a successful year, all payments are non-refundable. Please ensure that you understand the refund policy set forth within Single Parent Achievers. As there will be no refunds granted.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Membership Application