We are changing the negative worldwide PERCEPTION of disabled to differently-abled!

HOME
ABOUT US
MEMBER-SPONSOR-
DONATE
EVENTS-resources
- FUTURE EVENTS & RESOURCES
WHAT WE DO
Contact Us
More

Sign In
Create Account
Bookings
My Account

Signed in as:
filler@godaddy.com
Bookings
My Account
Sign out

Signed in as:

filler@godaddy.com

HOME
ABOUT US
MEMBER-SPONSOR-
DONATE
EVENTS-resources
- FUTURE EVENTS & RESOURCES
WHAT WE DO
Contact Us

Account

Bookings
My Account
Sign out

Sign In
Bookings
My Account

Membership FORM

Please provide all information.

Name of Organization:*

Organization Email:*

Name of Contact Person:*

Email*

Contact Person Phone Number:*

Veteran Status- Have you ever served in the military? Yes or No *

Do you have a disability?

Education Status- Are you taking classes or planning to? Yes or No

What level of membership do you choose? General, Bronze, or Gold?*

PLEASE MAKE PAYMENT BELOW TO COMPLETE YOUR BRONZE OR GOLD MEMBERSHIP AT THIS TIME. THANK YOU.*

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

White Apple Institute

888 562 7753

HOME
MEMBERSHIP
SPONSORSHIP
PRIVACY POLICY

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.