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Membership Application

Nebraska Association of Service Providers

1200 Libra Drive, Suite 100, Lincoln, NE 68512
(402) 320-5319 admin@neserviceproviders.org

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An association must complete this application form and be approved by the NASP Executive Committee before they may participate as a member of the Association. Membership is open to community-based agencies and organizations contracting with the State of Nebraska to provide services and supports to persons with intellectual/developmental disabilities. 

If your organization provides services in multiple locations in Nebraska, please provide all additional mailing addresses, along with names and email addresses for the contact person(s) in the Additional Information box below.


 
 
 

Indicate the variety of services currently being provided by your organization in Nebraska: 


 

 

 

 

 

 

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Interested in becoming a NASP member?
Nebraska Association of Service Providers1200 Libra Dr. Suite 100Lincoln, NE  68512PH: 402-320-5319alana@neserviceproviders.org
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