Membership Application

We welcome you to become a member of DGH. A Member contributes to DGH in a concrete way through volunteer work and/or donations. To become Members, individuals must fill out a brief information form about themselves and sign an agreement stating that they agree with the DGH Principles of Action and Mission statement.

Full Name: *

Email: *

We promise not to spam you. We will never sell or give someone else your email.

Address: *

Telephone:

Occupation: *

We'd like to know your occupation in case a community contacts us with a request that matches your skills.

Organizational Affiliations:

Please let us know what other organization you are affiliated with.

Language Abilities and Level:

DGH respects your personal privacy. DGH will never release your name, street address, telephone number or e-mail address to outside organizations without your consent.

What led you to join now?: *

interested in volunteering with DGH internationally in the next 6 months

interested in international volunteering in more than 6 months

interested in domestic volunteering

like what DGH does and just want to support it

want to develop a community partnership

other

Please specify, if other:

Mode of communication: *

I want to receive my newsletter and DGH communications by email

I want to receive my newsletter and DGH communications by paper mail

Agreement with the Mission Statement: *

By checking this I hereby certify that I agree with the DGH Mission Statement

Agreement with the Principles of Action: *

By checking this I hereby certify that I agree with the DGH Principles of Action

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