Housing Justice Network Participation Form

Membership in HJN is open to those who regularly represent low- and very-low income persons and households on housing issues. Typically, HJN members are attorneys or other housing advocates who represent low-income residents and homeowners in judicial, administrative or legislative proceedings.

Name*
First Last
Program*
Address*
Street Address City State ZIP Code
Phone
Fax
Email*
I am:*
- a full-time employee
- a temporary/contract./fellow/student
If temporary/contract/fellow/student provide until_____(date)
MM slash DD slash YYYY

Enter END date of temporary position/ fellowship/student status
Name
This field is for validation purposes and should be left unchanged.