CASRA Membership Application Form Preview on Page 1

CASRA Membership Application Form 2026

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  1. Click ‘Get Form’ to open the CASRA Membership Application Form in the editor.
  2. Begin by filling in the 'Agency Contact Person' and 'Agency Name' fields. Ensure that all information is accurate for effective communication.
  3. Enter your 'Federal Tax ID #' and complete the 'Agency Address', including City, State, and Zip Code. This information is crucial for identification purposes.
  4. Provide your 'Work number', 'Fax Number', and 'E-mail Address'. These contact details will facilitate further correspondence regarding your application.
  5. Select the types of social rehabilitation services your agency provides by checking the relevant boxes. This section helps outline your agency's capabilities.
  6. Fill in the number of persons served per year and the number of staff (F.T.E.) under the 'ABOUT YOUR AGENCY' section to give insight into your operations.
  7. Finally, ensure you have included all required documents such as the Board of Directors roster, recent Board meeting minutes, and a copy of your 501(c) 3 letter before submitting your application along with the $250 fee.

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Casra Age Level: To register, please complete the other side of this page and return the registration form with $5.00. For more information, call (612) 626-

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