Affiliate Membership Application

Please compete the form below as much as possible
and click Submit to apply as an SCOA Affiliate

Group Location

Current Group Leaders

Add name, role, email and phone for each. Click the + to add additional group leaders.
Group Leaders: Name, Role, Email, Phone


Please provide the name, email address, and phone number of two persons who can provide a reference for the group or a character reference for the current Group Leader.