Grassroots Leadership Alumni Association Membership Form This form is for GRADUATES of the Grassroots Leadership Development Institute, an initiative of the Spartanburg County Foundation. I am paying for my membership/renewal. Quantity(Required) Price: $25.00 Quantity I am paying to sponsor a GLAA member. QuantityNote: Most sponsorships are not designated for a specific individual. However, If you are paying for a specific person’s membership, please email gldi@spcf.org to inform Tara so that membership records can be updated appropriately and a notification of membership provided to the correct person. Price: $25.00 Quantity Name First Last GLDI Graduation year Professional Field (If retired, please indicate former field of expertise.) Place of Employment (If retired, please indicate that here.) Community Indicators: Area(s) of InterestYou can learn more about the Indicators by visiting www.strategicspartanburg.org. Civic Health Cultural Vitality Economy Education Natural Environment Public Health Social Environment EmailEnter your preferred email for receiving communication from the Spartanburg County Foundation and Grassroots Leadership Alumni Association. MAILING Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Data you may share with other GLDI/GLAA MembersNote, this data is only shared with other GLAA members. My Name My Photo (GLDI Headshot) My GLDI Graduation Year/Class My Email My Workplace My Interest Areas TOTAL- once you hit submit, you will enter this amount in the next screen to finish processing your renewal/membership. GLAA memberships are managed within our Community Impact Fund.