Street Care - Chapter Membership Form

Chapter Membership Form

Chapter Membership

Street Care members work to help homeless people and are passionate about serving the community. Street Care is an initiative of Bright Mind, an award winning 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.

First Name

Last Name

Phone Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Number of hours available to volunteer (weekly)

If under 18, please provide written consent from a parent or guardian.

How did you hear about us?

Why do you want to volunteer at Street Care?

By signing below I agree to be a volunteer member of Street Care and to uphold the chapter’s regulations and values (https://streetcare.us/), as may be amended or updated from time to time in Street Care and Bright Mind's sole discretion.

If you are a minor (under 18 years of age), you must ask your guardian to fill out this form and send it to us at volunteer@streetcare.us

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 streetcare.us/donations/#donate)

Thank you!

For any other help in filling the form, please email us at: info@streetcare.us

Chapter Membership Form​

Chapter Membership

Chapter Membership Form