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Membership Request Form

All information submitted through our Web Site is confidential and goes directly to the National Consortium for Academics and Sports.

NOTE: Membership and contributions are tax deductible.

New Member   Update Our Contact Info
   
     
CONTACT INFORMATION:   TELL US ABOUT YOUR INSTITUTION:
Contact Person:
Title:
School:
Address:
City:
 State:
 Zip:
Telephone:
 Fax:
Email:
     
Are you interested in NCAS workshops
at your location?
Yes   No
     
Please tell us your interests: (click all that apply)
National STUDENT-Athlete Day
Annual Conference
Hope for Stanley
Degree Completion Program
MVP Program
Alcohol Response-Ability
Banquet/Hall of Fame
Branded A Leader
Scholar Baller
 
Conference(s):
Division:
Community College
NAIA
NCAA I
NCAA II
NCAA III
Other  
 
Director of Athletics:
Mailing Address (if different from above)
City:
 State:
 Zip:
Telephone:
 Fax:
Email:
Website Address:
 
President:
Mailing Address:
City:
 State:
 Zip:
Telephone:
 Fax:
Email:
     
What sports programs are offered:
To Women? (click all that apply)   To Men? (click all that apply)
 
     
Additional comments: