Membership-BETA

MEMEBERSHIP APPLICATION

MIAAHC is a statewide coalition of federal, state and local law enforcement agencies, civil rights organizations, community-based groups, educators and anti-violence advocates working to ensure a complete and effective response to hate crimes and bias incidents. As stated within the MIAAHC Governing Principles, Section 2.02

The mission of MIAAHC is to reduce the occurrence and ameliorate the consequences of hate crimes and bias incidents committed in the State of Michigan. In doing so, MIAAHC will provide or assist with education, training, coordination, data collection, and support to federal, state, local, and community-based entities whose functions include preventing, investigating, prosecuting, or otherwise responding to hate crimes and bias incidents.

To this end, MIAAHC thanks you for your organization’s willingness to actively participate in its endeavors. The membership application can be accessed through the registration form below - a confirmation window will provide a link to the actual application. Multiple representatives from your organization may be listed in one application.

Applications are reviewed quarterly and are due by October 1, 2008.

	Organization *

	Director's/Chief Executive's Name *

	Director's/Chief Executive's Title *

	Your First Name *

	Your Last Name *

	Your Job Title *

	Address 1 *

	Address 2

	City *

	State *

	ZIP/Postal Code *

	E-Mail *

	Business Phone *

	Fax Number

After you hit SUBMIT,

don't forget to download

and save the application (Microsoft Word)

MIchigan Alliance Against Hate Crimes