Illinois Middle Grades Network - GOLD LEVEL RENEWAL APPLICATION

Gold Level Renewal Fee - $1500

School Information

School Name: *

Street Address: *

City: *

State: *

ZIP Code: *

Phone: *

Fax: *

Demographics

School Enrollment:

Grade Levels:

Administration

AIMS does not give out personal information to third parties.

Principal: First and Last Name: *

Principal: Email: *

Superintendent: First and Last Name: *

Superintendent: Email: *

Contact Information

Who should we contact about this application?

First and Last Name: *

Email: *

Payment Information

Payment Method: *

PayPal

Check

Purchase Order

If paying by check or purchase order, please print this page using the print button in your browser, submit the form and send in payment with the renewal form.
If paying by PayPal, submit form and you will be directed to the PayPal site.

Important Dates

Illinois Middle Grades Network - GOLD LEVEL RENEWAL APPLICATION