Boston, Massachusetts

MULTICULTURAL COALITION ON AGING    OPPORTUNITY FOR MEMBERSHIP

The Multicultural Coalition on Aging (MCA) is a coalition of agencies, institutions and individuals providing
health care and social services to older people in the Greater Boston, Mass area inclusive of many racial,
ethnic, religious, lifestyle and linguistic groups. Working together, Coalition members strive to improve the
environment in which health care is delivered to older adults by increasing the knowledge about, and
sensitivity to, cultural influences on health practices and health care delivery. This is what we call cultural
competence and are working to encourage in our communities.

Membership for the Multicultural Coalition on Aging:  The benefit most often expressed by members
is the sharing of information at meetings and opportunities to build relationships with colleagues at other
organizations.

The following are the formal benefits for those persons who meet the requirements of membership:  
·  recognition as a member on MCA materials
·  identification as a member on the MCA web site –
·  one voting right for MCA issues per agency, regardless of the number of agency attendees*
·  receiving periodic electronic communications of common interest to  members
·  networking with other agencies having an elder focus
·  being eligible for discounts for MCA events and programs

Eligibility:
Members:
Individuals, agencies or organizations are eligible to receive the above benefits of membership
to the coalition by submitting membership dues and attending monthly meetings. This fee is to support
general operating expenses of the Coalition.  *An agency can be represented by multiple persons to
maintain eligibility for membership.
Dues will be paid annually in the month of January. It is the responsibility of MCA members to pay dues on
time and to resolve these issues in January of that calendar year.

Individual ..............................................$25           Agency/Institutional
Lifetime member
(individuals only).....$1000          Sm.     *15 paid employees or fewer  ..............$25        
                                                                  Med.  *15 – 99 paid employees             ..........$50
                                                                  Lg.     *100+ paid employees     .           ........$100

No person will be turned away for lack of ability to pay, and fees can be adjusted according to need.

To join the Multicultural Coalition on Aging, complete portion below and submit form with payment.
Please make checks payable to: Hebrew SeniorLife

Attn: Patience Ortiz, Institute for Aging Research, Hebrew SeniorLife, 1200 Centre Street, Roslindale, MA
02131-1097
---------------------------------------------------------------------------------------------------------------

2005 Membership Form for the MULTICULTURAL COALITION ON AGING
I/we wish to join the Multicultural Coalition on Aging and have included a payment of (check one):

Individual Member:  $25         Agency/Institutional:  Sm.  $25   Med.  $50    Lg. $100           
Lifetime:                  $1000

I would like to support the work of the MCA and am enclosing an additional contribution of $_______.
 I would like to support the Joanne Prince Scholarship Fund for the support of students of color entering
health professions, and am enclosing an additional donation of $_______.

Agency: ___________________________________________________    

Primary Contact:  ___________________________________________________       

Address: __________________________________________________     
                          City:                         State:                Zip:
Day Phone: _____________________      Email:____________________________________
Fax Number: ___________________     
Agency
Website___________________________________                                                                             
(if you wish to have it linked to the MCA Website)

One membership, fee and form per agency. Information for additional contacts may be submitted.
Please be sure to complete Agency Profile in the following section.

New Member Contact: Please provide your title and a brief description of your job!




New Member Agency Description:
Please provide a brief description of your agency: mission, service provided, population served...



Membership provides an opportunity to:





ethnicities, and build relationships
BENEFITS OF MEMBERSHIP
MULTICULTURAL COALITION ON AGING
Improving the
delivery of
health care and
social services
to culturally
diverse elders
MULTICULTURAL COALITION ON AGING
MEMBERSHIP FORM
Membership provides an opportunity to: