Habitat for Humanity Membership Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Last Name *

First Name *

Local Address *

City, State Zip *

Home Address *

Home address City, State Zip *

Email Address *

Phone Number *

What year in school are you? *

Freshman

Sophomore

Junior

Senior

Faculty / Staff

T shirt size

Please check all that apply to you: *

I want to be added to the email list to find out about upcoming events and opportunities

I would like to receive reminders by text message

I am interested in becoming a board member to plan Habitat events and take on a leadership role to help continue the success of this organization

I would like to be added to the Habitat GroupMe

Other:

Required

There is a $20 membership cost which will last until the end of Spring 2023. What is your method of payment? (Cash and check payments can be made at EST 216) *

Check (Place in Mailbox in Envelope outside of Office EST 216)

Cash (Place in Mailbox in Envelope WITH YOUR NAME ON ENVELOPE outside of Office EST 216)

Venmo @wkuhabitat

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms