Georgia Avenue/Rock Creek East
Family Support Collaborative
Healthy by Choice. Empowered by Knowledge. Connected to Community Support

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Membership Application

Thank you for your interest in our organization.

M
embership is free!  Fill out an application today.


Georgia Avenue/Rock Creek East
Family Support Collaborative
Membership Application

 

Please check one:  Individual Member
  Organizational Member
Today's date:
Name:
Organization:
Address:
Daytime Phone:
Evening Phone:
Fax number:
Email:
Membership Pledge As a member of the Georgia Avenue/Rock Creek East Family Support Collaborative, I pledge/my organization pledges to support the Collaboratives' mission, which is:

To work with community-based organizations and residents to help children, youth and families become healthy by choice, empowered by knowledge and connected to community support.
  I/my organization can contribute to the Collaborative by joining
(check one):
Steering Committee
Membership and Outreach Committee
Budget and Finance Committee
 
 
Other:
I believe/my organization believes the supports most needed by families in this area are:
1st Support/Issue:
2nd Support/Issue:
3rd Support/Issue:

 

  Please contact our Community Resource Specialist at (202) 722-1815 ext. 251 if you have any questions about membership.