HEALing University Club Application Form

Application to Start a HEALing University Club
Thank you for your interest in establishing a HEALing University Club and for your dedication to HEAL Palestine’s mission of HEALing Palestinian children. Volunteers are the heart of our work, and we deeply value your commitment.

HEAL Palestine is a U.S.-registered, volunteer-based, nonpolitical, nonreligious nonprofit founded in 2024 to deliver urgent relief and long-term support to Palestinian children and families. Through our four pillars—Health, Education, Aid, and Leadership—we provide critical care and resources while centering grassroots leadership and community-led recovery.

Please complete this form to begin the process of starting a HEALing University Club at your school.
Applicant Information
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number/Whatsapp/Signal*
Please enter a valid phone number.
University/College Name*
Year of Study/Graduation Year*
Major/Field of Study*
Club Information
Why do you want to start a HEALing Club on your campus?*
Have you spoken with your university about the registration process?*

YesNo
If yes, please describe the steps required to officially establish your HEALing University Club and indicate which steps you will complete.

Club Roles & Leadership
Configurable list*
Planned Activities
What activities can you begin with? (Check all that apply)*

Awareness campaigns on campus about HEAL's workFundraising eventsVolunteer sign-ups to support nearby HEAL eventsBring Speakers to Talk about HEAL's work in PalestineOther
Do you plan to collaborate with other campus clubs (e.g., SJP)?*

YesNo
If Yes, please explain
Introductory Meeting
Planned date of first introductory meeting? A HEAL representative will join the meeting virtually.*

MonthDayYear
Date

Commitment
By submitting this form, I commit to upholding HEAL Palestine's humanitarian mission and values, and to inclusively support its growth and impact on my campus.
Commitment:*

I agree
Applicant Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Application to Start a HEALing University Club