Membership Application 2023-2024

All social services personnel from municipalities, organizations, and charities in Connecticut are welcome to become members of the CT Local Administrators of Social Services (CLASS).

To join or to renew your membership, fill out the form below. Please complete this form as you would like your information to appear in the CLASS Membership Directory.

(* Denotes Required Fields)

Organization Information

Town/Organization Name: *

Department:

Phone: *

Fax:

Address: *

Organization Regions

We are working to develop a way to divide our organization up by regions for maximization of representation. Below, please indicate which DCF region, Community Action Agency, COG region, & CT county you are part of.

DCF Region:

Community Action Agency:

COG Region:

CT County:

Member Information

For Town/Organization memberships, list members below. Include the full name, title, and email address for each member listed.

Member 1:

Member 2:

Member 3:

Member 4:

Member 5:

Member 6:

Member 7:

Member 8:

Member 9:

Member 10:

Please note: Voting rights will be given to the organization as a whole, except for Friends of CLASS. One vote will be counted per organization.

Committee Selections

We are actively recruiting members to join each of the following committees.

Membership Type & Fees

Membership fees entitle you to the following benefits: membership to CLASS, access to the list-serv, 2 professional development in-person trainings with lunch, regional roundtables either in-person or zoom (to be determined by region), topical peer learning sessions that will be held virtually, future legislative advocacy bill tracking, analysis, and lobbying.

Membership Selection: *

Individual (+$120.00) Group of 2-4 staff (+$200.00) Organization (5+ members) (+$500.00) Friends of CLASS - for affiliated organizations (non-voting member) (+$50.00)

Early Bird Option: If you have funds from FY ’22-’23 that you need to use, you have the option of early bird registration before June 30, 2023.

Please note: A 10% late fee will be charged on applications received after the deadline of September 30, 2023.