CAL-ICWA Membership Application

Please complete the form below. Then click the "Submit Membership Application" button at the bottom of the page.

After we receive your application we will send you a confirmation and membership card entitling you to CAL-ICWA benefits and membership voting rights.

  * Required Information
*First Name
*Last Name
Title
Organization
Website
*Street Address
*City
*State
*Zip Code
*Area code + Phone
Fax
Email
Tribal Affiliation
  Enrolled   CA Tribe


Member of an Indian Tribe
Member of an ICWA family
ICWA worker
Staff or board member of an Indian health or social service agency servicing Indian families
Advocate for Indian causes
Member of an ICWA roundtable/consortium
American Indian advocate
Non-Indian ICWA advocate
Elected Indian Leader
None of the above, but I support CAL-ICWA mission
Before submitting your membership application form, would you like to make a donation to CAL-ICWA at this time?
I would like to donate to CAL-ICWA in order to strengthen ICWA compliance in California.
Not at this time.
If you are making a donation, please make your check payable to IDRS and write "CAL-ICWA Donation" in the memo. IDRS is currently our administrative home as we work to establish our own separate tax exempt organization. Your contribution moves us closer to our goal.

Mail to: CAL-ICWA
c/o IDRS
1621 Executive Ct.
Sacramento, CA 95864

Your Privacy

Your membership information is confidential.

CAL-ICWA will not disclose your identity to any organization or individual without your prior written consent. However, aggregate membership information will be used for grant proposals.

CAL-ICWA, 1621 Executive Court, Sacramento, CA 95864 • (530) 518-2263

Copyright © 2006 California Indian Child Welfare Association

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