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  • 2022-2023 CCSSO State Collaborative Membership Application

    About the State Collaborative Groups
  • Thank you for enrolling in CCSSO’s Collaborative groups. Please note that membership in any and all Collaboratives is optional and not included as part of a state’s annual membership to CCSSO. CCSSO’s state members may elect to join as few or as many collaboratives as they would like to support their staff in advancing their key priorities. Enrollment in CCSSO Collaboratives takes place annually and the program year for all collaborative groups runs from July 1, 2022 to June 30, 2023. Questions or difficulties filling out the form? Please contact Adam Petermann.

    State Collaborative Member Information

    There is an annual fee to belong to each Collaborative, based on the number of participants. Membership Fees cover the following: The attendance of state member(s) to in-person and virtual meetings, including airfare booked through CCSSO’s online travel system, hotel accommodations for the duration of the meeting, and per diem reimbursements allowed by the CCSSO Travel Guidelines; State supports provided by the collaborative, including access to technical assistance and guidance from national experts, digital professional development resources, and ongoing collaboration with peer states through webinars and online engagement; and Administrative costs of CCSSO staff to support meeting logistics and leadership.

    Collaborative Membership Fees (per group)
    1 Participant: $11,000
    2 Participants: $15,500
    3 Participants: $20,000
    4 Participants: $24,500
    5 Participants: $29,000
    6 Participants: $33,500
    7 Participants: $38,000
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  • 2022-2023 CCSSO Collaborative Membership Application

    State Account Lead Contact Information
  • Directions: Please complete all fields marked with an * below. This form should be completed by the State Account Lead. Please enter the State Account Lead contact information below. Questions or difficulties filling out this form? Please contact Adam Petermann.

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  • 2022-2023 CCSSO Collaborative Membership Application

    Participant Information
  • Directions: Please complete all fields marked with an * below. For each particpant that will be joining a Collaborative program, please enter the participant name, title, email address and select which collaborative program(s) the participant will be joining. Questions or difficulties filling out this form? Please contact Adam Petermann.

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    • 15+ Participants 
    • Upload an excel or .csv file

    • Sample file
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  • 2022-2023 CCSSO Collaborative Membership Application

    Billing Authorization
  • Directions: Please complete all fields marked with an * below. Please add the individual who is authorized for billing below. Questions or difficulties filling out this form? Please contact Adam Petermann.

  • I affirm that I, * have the appropriate budget authority to obligate our participation in the membership group(s) identified in this form.

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