Information in the Collier Senior Resources directory is intended to provide information to the general public, in particular to those seeking assistance in the area of senior health and human services or caregiver services.

Please note you are responsible for accurate information.  Review the information requested and complete the form in one sitting.  You will no longer be able to edit the form when it is submitted.  When successfully submitted, you will view a notice on your screen.  If you have questions, please contact info@collierseniorresources.org.

.Membership Application
If you would like to be considered for membership in LCA (Leadership Coalition on Aging), here are the eligibility criteria.

CRITERIA FOR MEMBERSHIP IN LCA

To remain in good standing, each member agency/organization is obligated to:

  • Participate in the annual conference as a sponsor, expo vendor or attendee
  • Participate in an active committee
  • Participate in a minimum of one (1) empowerment series event

 

Organizations eligible for membership are:

  • Non-profit organizations, 501(c)(3) tax-exempt organizations or municipal, state and federal government agencies that provide social, educational, or health and human services that benefit seniors and/or caregivers in Collier County
  • For-profit organizations that provide social, educational or health and human services that benefit seniors and/or caregivers in Collier County.
If you would like to be considered, your application will be reviewed by the LCA membership committee.

Application Form

Enter entire URL (include the http://)
Enter entire URL (include the http://)
Select One
Select all that apply
Enter description as you would like it to appear on the CSR Website. (Maximum of 100 Words)
Include up to 3 primary services/programs
Maximum upload size: 5MB
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