SAN Member Form


Welcome to the State Authorization Network (SAN).


We are pleased that you will be part of the State Authorization Network (SAN). The following survey should only take a few minutes, but will provide the necessary information for communication and interaction that makes being a member of SAN beneficial to your institution. If you have any questions about the membership form, contact Cheryl Dowd at 303-541-0210 or cdowd@wiche.edu. We look forward to having you as part of the network!


Click on the DIRECTIONS link for instructions to complete the form.


*1. Please provide the name of the membership (i.e., institution name, partnership name, or system name, etc.) and the contact information for the 1-3 coordinators' per your membership type.

Higher Ed. Office, State Portal Entities, Companies & Organizations * (Office Only) 1 Coordinator
1 Institution 2 Coordinators
2 - 15 Institutions 2 Coordinators
16+ Institutions 3 Coordinators


Coordinator #1

(xxx) xxx-xxxx

Coordinator #2

(xxx) xxx-xxxx

Coordinator #3 - (note this is only for the large 16+ institution memberships)

(xxx) xxx-xxxx

2. Please provide the single point of contact for the membership Invoice:

(xxx) xxx-xxxx

3. Please provide the names and contact information of the institutions that are part of this membership.

If your SAN membership includes 10 or fewer institutions, please complete the fields below then scroll to the bottom of the form to submit.

If you have more than 10 institutions download this excel file then send the completed file by email to Cheryl Dowd at cdowd@wiche.edu. You may submit responses to section 1 and 2 by scrolling down and hitting Submit.

Thank you for your help to capture all of our member information!

If you have more than 10 institutions download the excel file from above and follow the above instructions. If you have less than 10 institutions please complete the bottom section unless you are an institution of only 1

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