Apply today Upon submission, applications will be reviewed by the Chicago Collections Membership Committee and then presented to the Chicago Collections Board of Directors. Notification regarding membership status will occur within 2–4 weeks. Organization Name *Primary Contact First Name *Primary Contact Last Name *Job Title *Street Address *Street Address Line 2 *City *State / Province *Postal / Zip Code *CountryAfghanistanAkrotiriAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArctic OceanArgentinaArmeniaArubaAshmore and Cartier IslandsAtlantic OceanAustraliaAustriaAzerbaijanBahamas, TheBahrainBaker IslandBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCoral Sea IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDhekeliaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Islas Malvinas)Faroe IslandsFijiFinlandFranceFrench PolynesiaFrench Southern and Antarctic LandsGabonGambia, TheGaza StripGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City)HondurasHong KongHowland IslandHungaryIcelandIndiaIndian OceanIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJan MayenJapanJarvis IslandJerseyJohnston AtollJordanKazakhstanKenyaKingman ReefKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMidway IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNavassa IslandNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPacific OceanPakistanPalauPalmyra AtollPanamaPapua New GuineaParacel IslandsParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouthern OceanSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Pacific Island Wildlife RefugesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin IslandsWake IslandWallis and FutunaWest BankWestern SaharaYemenZambiaZimbabweTaiwanEuropean UnionPhone Number *Fax NumberEmail Address *Website *Membership LevelGoverning Member ($6,000)Participating Member ($2,500)Associate Member ($500)----------------------------------------Partner Program ($500 - $10,000)Summary Description of organization's collections and its relevant nature to the history and culture of the Chicago region. Please include collection size and number of staff supporting the collection. *Please confirm the following: Yes, my organization is tax-exempt, nonprofit [501(c)(3), or comparable] and has a library, archive, museum, or a collection of materials, as well as a librarian, archivist, curator, or other professional staff member (leave blank if you are representing a Corporate Partner applicant). Yes, my organization is willing to support and promote Chicago Collection's mission and vision. Yes, my organization is able and willing to support, promote, and participate in Chicago Collections projects and programs. Yes, my organization will abide by Chicago Collections Bylaws and the terms and conditions of Membership as established by the Consortium's Board of Directors. Yes, my organization will pay the appropriate dues and any other fees assessed for products and services as established by the Consortium's Board of Directors. Yes, my organization maintains collections and information resources related to the Chicago region and/or its residents and will make these, to the extent legally possible, available for discovery and use by members of the consortium, other scholars, and members of the public. Submit Processing The data has been submitted.