CAL-ICWA Membership

CAL-ICWA Membership Application

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

After we receive your application we will send you a confirmation and membership card enitling you to CAL-ICWA benifits and voting rights for Steering Committe nominations.

	* 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.