Signup Form

  • The Inclusive Prosperity Coalition Membership Application

  • Can we list your name or organization as a member on our site?
  • If applying as an individual, check all that applies
  •  -
  •  -
  •  -

  • Due to being a new and small coalition, our capacity to provide childcare and accomodation are limited. At the same time, as a coalition that is family centered and promotes the disabilities rights, we will strive to make accomodations for all coalition members that need it. 

  • To attend meetings in person, will you need child care?
  • Please check all that apply for reasonable accommodation requests
  • Are you or members of your organization willing to volunteer and train to be childcare provider for children with special needs?
  • Should be Empty: