Athens Homeless Coalition

Join Us!

 

Membership Application

Please complete the form below in order to become a member of the coalition. You may use this form as an individual or on behalf of your organization. Once completed you will receive a confirmation email with further instructions to complete your membership. 

Thank you so much for your interest in becoming a member! We can't wait to meet you!

Name *
Name
If you are an individual you may list who you have volunteered with, worked for or been provided services from or you may leave this area blank.
Phone *
Phone
Address *
Address
This may be a single individuals or multiple people from your organization who will be present at meetings.
Individuals and service providers are required to pay different amounts for membership ranging from $0-$100 annually. Please select your level below.