Member Application Membership Valid Through May 31, 2027 Your Name(Required) First Last Your Phone Number(Required)Your Email Address(Required) Mailing Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Membership DetailsMembership Level(Required) Student Membership - $10 Individual Membership - $25 Household Membership - $35 This field is hidden when viewing the formBecome a Sustaining Member with an additional donation. Yes, I'd like to be a Sustaining Member with an additional donation. Not at this time. Become a Sustaining Member with an additional donation of any amount. (Optional) Enter your desired amount.How many household members would you like to add? 1 Additional Member 2 Additional Members 3 Additional Member Please let us know what year of high school, or full-time undergraduate program you are enrolled in:Household Member First Last Household Member's Phone NumberHousehold Member's Email Address Second Household Member First Last Second Household Member's Phone NumberSecond Household Member's Email Address Third Household Member First Last Third Household Member's Phone NumberThird Household Member's Email Address How did you hear about us?(Required)Volunteer Opportunities (Optional)The FPA is sustainable only with volunteer efforts. Please check areas of special interest and expertise. Event Planning Fundraising/Sponsorships Marketing & Social Media Writing & Documentation Committees with immediate volunteer needs are as follows. Indicate your interest in one or more positions. Meeting Support Team: Provides tech/AV support to the featured guest speaker during monthly dinner meetings Meeting Support Team: New member greeters Fundraising Committee: Identify and research potential sponsors Complete ApplicationMembership Total Credit Card CAPTCHA