Institutional Membership Application Form

First Name *

Last Name *

Email *

Organization *

Address *

Address 2

City *

State *

Zip *

Phone Number *

An institutional membership is available to an institution of higher learning in Montana, to the OPI, and to organizations whose primary purpose is the support of PreK-12 education. Persons listed under an institutional membership may attend all meetings and serve on committees. An institutional member has the same voting rights as affiliate members, except that an institutional member may not vote on any matter regarding resolutions establishing positions on educational issues. A fee will be charged for institutional membership. Institutional membership is based on the following fee structure:

$230 for up to 3 members
$35 for each additional member

Please list the names and contact information for all potential members who will be part of the Institutional membership.

Member 1: Name, Position, Email *

Member 2: Name, Position, Email

Member 3: Name, Position, Email

Member 4: Name, Position, Email