WCH STUDENTS MEMBERSHIP FORM

WCH STUDENTS MEMBERSHIP FORM
Welcome to WCH Membership Application!
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Birthdate*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of School
Education Level
Special Talents and Skills
How did you hear about us?
Name of other Organizations you belong to and your roles in them.
Reasons for joining We Care for Humanity
Your Humanitarian Interests (Check all that apply)

Education, Arts & CultureHealth & WellnessEradication of PovertyEmpowermentHuman RightsWorld PeaceGreen EnvironmentOther
Are you interested in attending the WCH Humanitarian Summit in New York?

YESNO
Your short bio
Upload your photo (headshot)

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Upload you Valid Student's ID (Passport/ DL/ Residence Card)

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Other Files to upload (optional)

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Membership Fee plus $20 shipping charges on the Membership Kit

WCH MEMBERSHIP($69.00 for each year)

Welcome to WCH Membership Application!