AHA Local Group Application

AHA Local Group Application

Thank you for applying to become an AHA local group. There is no fee for a group to connect with the AHA. Groups must support the AHA mission and stay in contact so we can work together and promote each other. After your application is reviewed, we will schedule a discussion so we can get to know each other better.
Will your group be an AHA Chapter or Affiliate?*

ChapterAffiliate
Name of Group*
We recommend a name of 2-7 words like Hartford Humanists or Humanist Community in Silicon Valley.
Year founded*
EIN: *
"none" if not yet obtained
Requesting use of AHA's IRS Group Exemption for tax-exemption 501(c)3 status?*

YesNoMaybe
Group Email*
This must be an active public contact. It could be general or contact person's email.
Group Phone Number

Area CodePhone Number
Contact Person's Name*

First NameLast Name
Meeting Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tell us about your group like your goals, structure, membership, etc.*
Website Link
Facebook Page
Not a Facebook Group
Twitter Handle
Meetup Link
Other Social Media
Here you can list Facebook group, YouTube, Instagram, etc.
E-signature*

Clear