Membership Application

Legal Name of School District/Educational Entity
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Address
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City
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Phone
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State
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Zip
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Name of Business Manager/Superintendent
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Email
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Number of School District
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Total enrollment for all school districts
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If a cooperative, specify the number of students you provide services for
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What areas of school board legal liability would your district/entity be interested in receiving information on? Check all that apply.
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Other
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What areas of employment practice liability would your district/entity be interested in receiving information on? Check all that apply.
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Other
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Would your district/entity like online access to a written policy for loss prevention and loss control
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Would your district/entity like assistance in assessing your level of compliance with the Fair Labor Sabor Standards Act?
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Does your district/entity utilize policies and procedures of its state school board association?
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How is your district/entity alerted to changes in school codes, other laws, and regulations? Check all that apply.
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Other
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Person designated to receive all notices from School Leaders Risk Management Association and have access to services.
Name
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Address
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Title
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Digital Signature of Business Manager/Superintendent
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DISCLAIMER: School Leaders Risk Management Association is not engaged in the practice of law and any information provided shall not constitute a legal analysis or legal advice. We recommend you consult a lawyer if you want professional assurance that our information, and your interpretation of it, is appropriate to your particular situation. (Membership in SLRMA is $.05 per enrollee, subject to a $50.00 minimum and a $10,000 maximum)
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School Leaders Risk Managment Association

155 North Wacker Drive, Suite 3700
Chicago, IL 60606-1731