Applicant name: *

First Name

Last Name

Mailing address: *

Please provide your mailing address here. This is used to send you your earnings statement and check (each June and December, or monthly for more active members). If you ever change your mailing address, don't forget to notify us at least two weeks prior to the next billing period.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I am a... *

Please select all that apply:

Group leader (homeschool group, Sunday School, etc.)

Company / organization (non-educational)

Church

Parent of young child(ren)

Educational organization

Social media influencer

Just a fan!

Please state your gender: *

Male

Female

Not applicable (group/organization)

Please provide your approximate age range: *

18 - 24

25 - 40

41 - 60

60+

Prefer not to answer

Not applicable (group/organization)