NSRF Membership

The work of the National School Reform Faculty (NSRF) is rooted in our mission to foster educational and social equity and is characterized by the concepts of critical friendship, facilitative leadership, and the development of learning communities. Our network of educators in schools and districts across the country is guided by these concepts and driven by our mission.

In 2007, NSRF is restructuring and has become a dues-paying membership organization. The plan is designed to enable NSRF to continue to offer our services to all educators regardless of ability to pay and to establish NSRF as a permanent national institution.

NSRF protocols, tools, texts, research, and other resources have always been free to anyone who wanted to use them. We want to continue this tradition. All people associated with NSRF are members and our resources and support will not be limited to only those who contribute a membership fee. However, we believe that annual membership contributions from each of us will ensure that the materials upon which we depend continue to be as accessible as the nearest internet connection.

Our membership plan is an important organizational change that impacts all NSRF practitioners, National Facilitators and Centers of Activity. Membership is essential to our sustainability and will allow us to continue to grow and serve our community of reflective practitioners.

There are several options to apply to join NSRF:
1. Apply Online Now!
Complete an easy form online and submit it.

2. Print & Mail or Fax
Simply Print out the membership application, complete it and mail it to:
NSRF
909 E 2nd. St.
Bloomington, IN 47401

or fax it to:
attn: NSRF
(812) 333-3435

3. Call Us
You can call the NSRF National Center at (812) 330-2702 and we can take your membership application over the phone.

Individual Membership Application

Please fill in the form below and press the submit button at the bottom.
First Name
Middle/Maiden/Alternate
Last Name
Home Address		Street City State Zip Phone Cell Phone
Email
Workplace
Position/Role
Work Address		Street City State Zip Phone Fax
Membership Level		Contributing Member - Annual contribution (select level) $25 $50 $75 National Facilitator Member (annual contribution of $150)
Options		Annual Auto-Renewal (credit card only): NSRF will charge your card annually on your anniversary date. You may cancel this option at any time. Single Year: Pay with check, money order, or credit card. NSRF will notify you when your membership is about to expire for renewal options.
Scholarship Fund		I’d like to contribute to the Faith Dunne/Nancy Mohr Scholarship Fund in the amount of $ if you pay online below, be sure to add this as a related item Include this amount in my annual auto-renewal.
Payment Options
Credit Card		Please call the National Center at 812.330.2702 to pay by phone or follow the link to pay on our secure shopping site after you submit your application.
Check (Invoice)		Please complete billing information below
Billing Information.
Mail invoice to
To the attention of
Billing Address		Street City State Zip
Billing Phone (include area code)
Fax
Purchase order number
Research and Data Collection
Gender		Male Female
Race and/or ethnicity		(optional)
Indicate all NSRF Seminar Experiences you have attended. Please send a separate message to nsrf@nsrfharmony.org if necessary. Name of Seminar Dates City and State Facilitators CFG New Coaches Seminar 5 day 6 day embedded CFG Experienced Coaches Seminar Facilitative Leadership Looking at Student Work Collaborative Inquiry Coaching for Educational Equity School Culture Other (specify)
Are you currently in a Critical Friends Group (CFG)?		Yes No
	If so, in what capacity?	Member Coach Other:
	How long has that CFG been meeting?	1-2 years 3-5 years 6+ years
	How often does that CFG meet?	more than once a month once a month sporadically infrequently or no longer meeting
	What was that CFG’s biggest achievement of the past year? It’s biggest challenge?
	What roles do the members of your CFG have (teacher, principal, etc.)?	Teachers Administrators Mixed
Are you affiliated with an NSRF Center of Activity? If so, please indicate which one.		NSRF Center of Activity