Membership Application 2026-2027 PAY BY CREDIT

All social services personnel from municipalities and non-profit organizations 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. Credit cards are accepted below.

(* Denotes Required Fields)

Organization Information

Town/Organization Name: *

Department:

Phone: *

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.

Please select the committee(s) you are interested in joining:

Governance Marketing & Communications Policy Membership Professional Development

Membership Type & Fees

Membership fees entitle you to the following benefits:
1) Membership to CLASS,
2) Access to the CLASS list-serv
3) Two in-person professional development trainings each year
4) Regional roundtables - in-person or via Zoom as determined by each region
5) Virtual learning sessions about various topics as identified by CLASS members
6) Legislative bill tracking and advocacy updates.

Membership Selection: *

Individual (+$180.00) Group of 2-4 staff (+$300.00) Organization (5+ members) (+$600.00) Friends of CLASS - for affiliated organizations (non-voting member) (+$75.00)

Please note: A 10% late fee will be charged on applications received after the deadline of September 30, 2026.

Credit Card Payment Information

Amount:$0.00

Card Type:

Card Number:

Name on Card:

Verification #: ?

Expiration Date:

Billing Address:

City

State

Zip