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OCEN Renewal Membership Application

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Please complete and submit the application below. If you have any questions, please contact us at 513-733-5775 or [email protected].

School Contact Information
Superintendent/Head of School*
Superintendent/Head of School Direct Phone*
Superintendent/Head of School Direct Email*
School Name*
Primary Point of Contact for OCEN
First Last
Primary Point of Direct Phone
Primary Point of Direct Email
Total Enrollment in the 2020-2021 School Year:*
Membership Contribution*
Please Select One
- Please invoice our school the Membership Contribution (.35/student x 12 months) or $2,500 whichever is the lowest amount.
- At this time our budget does not allow us to pay the full amount this year. Please invoice us for this amount:
- Due to current situation we cannot pay the full amount. Please contact me to discuss a complementary year.
Please Invoice the School for this Amount:
An invoice will be emailed to you once this form is completed. Questions? Call the office 513.733.5775 or email [email protected]

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Citizens for Community Values | Ohio's Family Policy Council | P.O. Box 2945 | Columbus, OH | 43216 | 513.733.5775

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