AzCAN

We are so glad you are here! Please tell us a little about yourself

Are you representing yourself or an organization?

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Become an AzCAN Member

Membership in AzCAN is free. Information you provide in your member profile will be used to populate the public directory, member directory, and state reports. Answers marked Public will be displayed to both AzCAN members and the public. Answers marked Members Only will be displayed to AzCAN members. Answers marked Private will not be displayed and will only be used for AzCANs aggregate reports on state activities.

Organization Name

Member Profile

Your answer will be Public.

Street Address
City
State
Zipcode
Phone
Website

Member Profile

Your answer will be Public.


Member Profile

Your answer will be Public.

Who operates the program?


Organization/Program Info

Your answer will be Public.

Does your organization/program provide direct services to students?




Organization/Program Info

Your answer will be Public.

Indicate the major services the program provides. Check all that apply.

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Organization/Program Info

Your answer will be Public.

What region of the state do you serve?

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AzCAN

Organization/Program Info

Your answer will be Public.

What are the Standards Addressed by the program? Check all that apply.

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Organization/Program Info

Your answer will be Public.

How many students are served annually?




Organization/Program Info

Your answer will be Public.

What target population does your program serve? Check all that apply.

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Professional Development

Your answer will be Private.

What areas of college access or success would you like to enhance or develop in order to make your program better? Check all that apply.

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Professional Development

Your answer will be Private.

What areas of expertise can you share with other AzCAN members? Check all that apply.

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Please provide your contact information.

First Name
Last Name
Professional Title
Organization
Address
Address2
City/Town
State/Province
Zipcode/Postal Code
Email
Phone Number

AzCAN Membership Add Users

Create your primary user account now. Only the person you list as the primary contact for the organization will have access to the member profile and the ability to edit/update the profile. Later in the setup you will have an opportunity to add more users within your organization but those users will not be able to edit your organization’s member profile.

Primary Contact/User

First Name
Last Name
Title
Email

How would you like to be involved with AzCAN? Please check all that apply.

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Congratulations

You have completed your member profile and will be added to the AzCAN network. In the next week you will receive a welcome letter and membership pins for each person you listed as an additional member in your organization.