Kansas PRIDE Communities

Annual Enrollment Form

  You are about to enroll.  Please fill the following form and click 'Enroll my Community' Button.

Name of The Community* :
Year*:
(YYYY)
 
Local Government Resolution #: (If available) Download the form here

Enrollment Classification : Click here for more information
Regular Meeting Date: (If you have one)

Primary Contact Information:

First Name*
 

Last Name:*
 

Email Address*:

Mailing Address:
 

City:
ZIP:*


Local Extension Unit*
Can’t find your county?
CLICK HERE for District Information

Preferred Phone:
(xxx-xxx-xxxx)  

Other Contacts
Contact1:
Name:

Email:

Prefered Phone:

Contact2:
Name:

Email:

Prefered Phone:


Would you like to subscribe for the PRIDE newsletter? Selecting 'YES' here, would add you and your team member emails to the newsletter subscription list.
Emails you need to add to the Newsletter Subscription List: (Separate emails by semicolon!)


Please remember your username and password, to enter your reports.

Username* (Please type one word; only lowercase):
(No spaces please)

Password*:

Retype Password*:

Memorandum of Understanding Between Kansas PRIDE Program and your community :
The Kansas PRIDE Program Agrees to:
  • Provide educational opportunities for volunteers from local PRIDE communities
  • Provide networking opportunities for volunteers from local PRIDE communities such as day of PRIDE and electronic media.
  • Provide educational opportunities for volunteers from local PRIDE communities in annual review, certificates and Partners in PRIDE grant funds when applicable.
  • Provide educational opportunities for volunteers from local PRIDE communities available from a variety of sources.
The local PRIDE Community agrees to:
  • Annually enroll in the PRIDE Program by completing all required forms.
  • Complete a community assessment every 3-5 years. (COE only)
  • Identify and complete community projects that contribute to the improved quality of life.
  • Identify measurement tools and measure success that is reported through the quarterly reports.
By completing the enrollment process this Memorandum of Understanding is agreed to by all parties.
 


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