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Home
Our Values
Meet the Organizers
News & Updates
Get Involved
Contact Us
Job Openings!
HIP Academy
HIP Newsletter
Membership Form
Donate
Name
*
Name
(ex: Donald Duck)
First Name
Last Name
Email Address
*
(ex: donald.duck@disney.com)
Phone
*
Phone
(###)
###
####
Address
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Occupation
*
(ex: actor)
How did you hear about HIP?
*
Facebook
HIP's Website
Referred by Family
Referred by Friends
I know someone in HIP
Other
In what capacity would you like to be involved with HIP?
*
What are your interests, hobbies or other involvement/extracurricular activities?
*
(please include organizations, groups or activites you're currently involved in.)
What can you contribute to HIP?
*
How can HIP contribute to you?
*
Thank you for your HIP application! Our membership committee will contact you very shortly.