Agency Membership

Membership in The Daly City Partnership is available to any agency or organization that is a “recognized provider of services for children, youth, adults or families”.

Agency Name:

Type of Service Provided:

Agency Address:

City:

State:

Zip:

Designated contact / voting member:

Job Title:

Additional Agency Representatives to Receive DCP Membership Cards: (List names / email):

E-Mail:

Particular Interests

(Please check all that apply)

Child Care

Adult Literacy

School Readiness Programs

After School Activities

Teen and Youth Programs

Elder Programming

DCPPC Leadership or Volunteer Opportunities

Promoting Healthy Lifestyles

Intergenerational Collaboration

Transportation

Housing

Safety / Crime Prevention

Other - (Specify):

Annual Agency Membership Fee Structure

Sponsor Level:	$150 (annual budget of more than $250K but less than $1M -plus 3 staff membership cards)
Patron Level:	$175 annual budget of more than $1M -includes 4 staff membership cards)
Benefactor Level:	$300 annual budget of $2M -includes 5 staff membership cards)
Additional Donation Option:	Specify Amount (Donation supporting DCP programs & services benefitting children, youth, families & seniors.)

Membership/Donation

Specify Additional Donation Amount: $