ORUef Membership Application

School Name

Location of School's Headquarters

United States

Outside the United States

School Mailing Address

Address Line 1

Address Line 2

City

State (abbreviation if in United States)

Zip/Postal Code

Country

Different School Physical Address?

Yes

No

School Physical Address

Address Line 1

Address Line 2

City

State (abbreviation if in United States)

Zip Code

Country

School Phone Number

School Website

Head Administrator's First Name

Head Administrator's Last Name

Head Administrator's Email

Head Administrator's Mobile Phone (optional)

Other than the Head Administrator, which administrators does the school have? (select all that apply)

Secondary and/or High School Principal

Middle School Principal

Elementary Principal

Preschool Director

None

Secondary Principal's First Name

Secondary Principal's Last Name

Secondary Principal's Email

Middle School Principal's First Name

Middle School Principal's Last Name

Middle School Principal's Email

Elementary Principal's First Name

Elementary Principal's Last Name

Elementary Principal's Email

Preschool Director's First Name

Preschool Director's Last Name

Preschool Director's Email

Year of School's Founding

Is the school sponsored by a church?

Yes

No

Name of Sponsoring Church

Denomination of Sponsoring Church

Pastor's First Name

Pastor's Last Name

Pastor's Email

Total Number of Teachers

Grade Levels Served

Below 3 Years Old

3 Years Old

PreK (4-year-old program)

Kindergarten (5-year-old program)

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

Total Number Enrolled

Number of High School Graduates in Most Recently Graduated Class

Is the school already accredited by another accrediting association?

Yes

No

Name of Accrediting Organization(s)

School's Accreditation Officer's First Name

School's Accreditation Officer's Last Name

School's Accreditation Officer's Email

School's Accreditation Officer's Phone

Membership applications are welcomed throughout the year, and annual dues are invoiced upon membership approval. Regardless of when an application is submitted, membership renewals are due by September 30 each year.

By submitting this form, I affirm that the school on this application does not discriminate racially and that the school's beliefs are not in opposition to the ORUef Statement of Faith. I also affirm that I have the authority to submit this application.

Name of Person Completing Application

Title of Person Completing Application