Education Technology JPA Associate Membership Application

**This form must be accompanied by the executed Associate Membership Agreement. A template board resolution authorizing membership with the Education Technology JPA is available on the Becoming A Member page.
Public agencies with a valid CDS Codes will be provisionally approved for membership upon receipt of the completed Application and Associate Membership Agreement. Formal action to approve new Associate Members will occur at the next regularly scheduled Ed Tech JPA board meeting.
Type of Public Agency as defined by Government Code Section 6500 et seq.:
One file only.
2 MB limit.
Allowed types: pdf.
If you would like to add additional people from your organization, please enter the Name, Title, and Email Address for additional User Names you would like issued for this Associate Member.