Member Organization Application

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Password must contain the following:
  • 12 Characters
  • 1 Uppercase letter
  • 1 Lowercase letter
  • 1 Number
  • 1 Special character

Organization Details











General email for the organization, not your email

Main phone number for the organization, not your phone number

Organization Classification




Select all that describe who your organization works with:
Do your clients have any special needs that DFSH should be aware of in order to provide them with our services?

Educational Programs and Resources

Degrees and Classes Provided by your Organization:
Resources Provided by your Organization:
Submission Contact

Mr., Ms., etc




Mobile number preferred

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Contact Information