Request Membership

We are excited to have you join the Nevada Afterschool Network as a valued member! By applying for membership, you'll be joining a network of OST professionals and advocates just like you from across the state who are committed to supporting our mission to empower OST programs and provide quality programming to Nevada's youth. To complete your membership application, please fill out the form below. Once completed, our staff will contact you to confirm your membership. Thank you for your interest in joining the Nevada Afterschool Network and for all you do for Nevada's youth!

Account Details

Profile Details

Full Name (required)

This field can be seen by: Everyone

Phone (required)

This field can be seen by: Only Me

Who can see this field?
Organization (required)

This field can be seen by: Everyone

Mailing Address (required)

Please provide the address to which your New Member Welcome Kit will be sent.

This field can be seen by: Only Me

Who can see this field?
Position Title (required)

This field can be seen by: Everyone

Who can see this field?
Which Nevada county does your organization operate in? (required)

Check all that apply

This field can be seen by: Everyone

Who can see this field?
How many years have you worked in the Out-of-School Time field? (required)

This field can be seen by: Everyone

Who can see this field?
Total number of youth your organization serves (required)

This field can be seen by: Everyone

Who can see this field?
Organization Type (required)

Check all that apply

This field can be seen by: Only Me

Who can see this field?
Which grade levels does your organization serve? (required)

This field can be seen by: Only Me

Who can see this field?