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Membership ApplicationPDF

Click to download the membership application in pdf format.
*If you are having trouble downloading this application, you may need to get Adobe Acrobat Reader

Membership Categories

Regular Members

Dues for any Regular RSA Wisconsin member are based on the number of individuals served at all locations – regardless of agency type. Community Based Residential Facilities (CBRFs), Residential Care Apartment Complexes (RCACs), Adult Family Homes (AFHs), Group Homes and other care settings all fall into this category of membership. Dues are $17.50/individual served with a maximum cap of $2,500. (143 beds or more).

Friends of RSA Wisconsin

This category is for all individuals and/or students who believe in the mission of RSA Wisconsin and wish to participate in the training and seminars held throughout the year. This is not for vendors, companies or groups, this is specifically for individual persons.

Affiliate Members

This is for all businesses, foundations, libraries, governmental agencies, educational programs, vendors and groups of any kind that do not directly operate community based programs but share the purposes and aims of RSA Wisconsin. 
The affiliate members are also invited to become sponsors of RSA Wisconsin at different levels. Each level has a package of benefits. Please call the RSA Wisconsin office to receive a list of the benefits.
Diamond Pyramid $5,000
Platinum Circle $2,500
Gold Bar $1,500
Silver Medal $1,000

Affiliate Member - $250

  • All affiliate members receive the benefits of any RSA Wisconsin member, each of the following levels of sponsorship fall into an affiliate membership, they're just an added way for companies to support RSA Wisconsin.

Diamond Pyramid - $5,000

  • Complimentary Membership in RSA Wisconsin for one year ($250 affiliate membership)
  • Full page newsletter ad for one entire year (6 issues)
  • One full page ad in the Membership Directory
  • Complimentary Exhibitor's booth at the Annual Convention
  • Two complimentary admissions at the Annual Conference
  • Preferred placement at the Annual Convention
  • Recognition of sponsorship level in newsletter and at convention

Platinum Circle - $2,500

  • Complimentary Membership in RSA Wisconsin for one year ($250 affiliate membership)
  • Full page newsletter ad for half of one year (3 issues)
  • One full page ad in the Membership Directory
  • Half price Exhibitor's booth at the Annual Convention
  • One complimentary admission at the Annual Conference
  • Preferred placement at the Annual Convention (after Diamond Pyramid sponsors)
  • Recognition of sponsorship level in newsletter and at convention

Gold Bar - $1,500

  • Complimentary Membership in RSA Wisconsin for one year ($250 affiliate membership)
  • One full page newsletter ad
  • One half page ad in the Membership Directory
  • Half price Exhibitor's booth at the Annual Convention
  • Half price for two admissions at the Annual Conference
  • Preferred placement at the Annual Convention (after Platinum Circle sponsors)
  • Recognition of sponsorship level in newsletter and at convention

Silver Medal - $1,000

  • Complimentary Membership in RSA Wisconsin for one year ($250 affiliate membership)
  • One full page newsletter ad
  • One half page ad in the Membership Directory
  • Half price for one admission at the Annual Conference
  • Preferred placement at the Annual Convention (after Gold Bar sponsors)
  • Recognition of sponsorship level in newsletter and at convention