Form Submitter/Contact Person Details

First Namerequired

Last Namerequired

Job Titlerequired

Email Addressrequired

School/School System Information

Name of Institutionrequired

Address Line 1required

Address Line 2

Address Line 3

Cityrequired

State/Provincerequired

ZIP/Postal Coderequired

General Emailrequired

Phonerequired

Fax

Websiterequired

Social Media 1

Social Media 2

Profile

A short paragraph describing your school or school system.

Other program/curriculumrequired

Grade Levels

Grade levels served by your school/system.

School/School System Composition

Are you a group of schools or school system?*

A Group of Schools or School System are defined by uniform branding, common governance, single incorporation (if applicable) and a centralized management office.

Yes No

Number of Schools in Group/System:required

Please specify.

Current Enrollmentrequired

Total number of students enrolled in your school/system as of April of the current year.

Approximate breakdown of student body by nationality:required

Total Number of Faculty:required

Approximate breakdown of faculty by nationality:required

Approximate breakdown of administration by nationality:required

Faculty/Personnel Contact Information

Head of School/Organization

Full Namerequired

Job Titlerequired

Email Addressrequired

Administrator/Administrative Assistant

Full Name

Job Title

Email Address

Full Name

Job Title

Email Address

Criteria for Membership

We are an elementary or secondary school, or school system.*

Yes No

We are accredited by a NESA recognized accrediting agency.*

NB: for the purposes of eligibility for membership status, NESA currently recognizes the following accreditation agencies: Middle States Association of Colleges and Schools (MSA), New England Association of Schools and Colleges (NEASC), Council of International Schools (CIS).

Yes No

We are committed to serving the international community, including US citizens.*

Yes No

Our supporting evidence is ...

We offer a comprehensive standards-based US type curriculum with English as the primary medium of instruction.*

Yes No

Our supporting evidence is ...

Standards and Performance Indicators

Our school or system shares NESA's core values.

There is significant alignment between our articulated core values and those of NESA.*

Yes No

The supporting evidence is ...

Our school or system is committed to NESA's mission.

Our school is committed to sustained, systemic school improvement based on the best practices of American and International education.*

Yes No

The supporting evidence is ...

Our school or system is committed to professional development.

Our school has an articulated, multi-year plan for professional development.*

Yes No

The supporting evidence is ...

Our school is committed to participating in NESA.

We will send delegates to NESA Conferences and Training Institutes and/or participate in collaborations with other NESA member schools in line with our current professional development priorities.*

Yes No

Required Documentation

You may also submit the following documents by email to ranya@nesacenter.org. However, please note that your application will not be processed until they have been received.

Please upload a copy of the school’s or system’s charter, bylaws and admission requirements.

Max file size: 10 MB

Please upload a copy of your school's certificate of accreditation.

MSA, NEASC or CIS only.

Max file size: 10 MB

Supporting Documents (optional)

Please feel free to upload a maximum of any two (2) additional documents which you believe will support your application for NESA Membership.

Document #1

Max file size: 10 MB

Document #2

Max file size: 10 MB

Comments

Please let us know if there is anything not covered by this form.

By typing your name below and clicking on the SUBMIT button, you understand that you are electronically signing this document. If you do not accept, you may choose not to submit the form.*

I confirm that the information given in this form is true, complete and accurate.

Electronic Signature of School Headrequired

Daterequired (mm/dd/yyyy)

Form Submitter/Contact Person Details

School/School System Information

School/School System Composition

Faculty/Personnel Contact Information

Criteria for Membership

Standards and Performance Indicators

Required Documentation

Supporting Documents (optional)

Sign and Certify