Membership Application

JOIN US! If you would like to apply for membership in the Alliance for Excellence in Online Education, please fill out the form below, and a representative from the Alliance will get back with you as soon as possible. Please be sure to provide us with a valid email address and phone number where we can contact you.

If you are having trouble with this form or need to speak to someone, please call Dr. Patrick Callaghan at (248) 875-6009. Address written correspondence to: 330 East Maple Road #139, Birmingham, MI 48009.

*First Name:

*Last Name:

*Institution/Organization:

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*Phone:

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*Primary reason for joining Alliance:

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