Application to Start a HEALing Community

Application to Start a HEALing Community
Thank you for your interest in establishing a HEALing community and for your commitment to HEAL Palestine’s mission of HEALing Palestinian children. Volunteers are the heart of our work, and we deeply value your dedication and support. Please complete this form to begin the process of starting a HEALing Community in your area.
Applicant Information
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
City*
State/Province/Region*
Community Interest
Do you know of others who are interested in joining you?*

YesNo
If Yes, please share names, contact info, or approximate number of people.
Commitment
By submitting this form, I commit to upholding HEAL Palestine's humanitarian mission and values, and to inclusively support its growth and impact in my community.
Commitment*

I agree
Applicant Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Applicant Information