Bright Mind

Chapter Membership Form

Street Care members work to help homeless people and are passionate about serving the community. Street Care is an initiative of Bright Mind a 501(c)(3) nonprofit organization. We want you to help us continue to reach even more people in need! You and your friends can significantly impact your community by being a part of the team. Click here to find out what chapter membership entails If you prefer to sign and send in a copy or save it for later reference, please download the form here.

Personal Details

First Name *

Supporting text

Last Name *

Supporting text

Email Address *

Supporting text

Phone Number

Supporting text

Address Line 1 *

Address Line 2

Zip Code *

Country

City *

Supporting text

State *

Availability

Number of hours available to volunteer (weekly)

Are you under 18 years old?

How did you hear about us?

Why do you want to volunteer at Bright Mind?

By signing below I agree to be a volunteer member of Bright Mind and to uphold the chapter’s regulations and values (brightmindenrichment.org/about-us/), as may be amended or updated from time to time in Bright Mind’s sole discretion.

Signature (If minor, Guardian's signature) *

Name *

Date of Signature *

Comments. You can add more information on how you heard about us and share any other relevant information.

To be able to keep offering chapter membership without charging (as we do) and helping people as much as possible, we need support from everyone able to donate! If you can donate $10, that will cover the minimum cost for your chapter membership for an year. $20 will provide for a member in need, too. $200 will provide the above as well as funding for helping 25 homeless people on one of our homeless days of action. Can you support us now? (Link at brightmindenrichment.org/support-us/) Thank you! For any help in filling the form, please email us at: [email protected].

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Chapter Membership Form

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