Certified Welcoming Application Request

Thank you for your interest in Certified Welcoming. Upon completing this form, a Welcoming America staff member will be in touch with you within 5 business days with additional information.

First Name

Last Name

Title

Department

Organization

City and County

State

Phone Number

Please check which applies to you- Please note, Certified Welcoming is a status that only local governments may receive. If you are a non-profit organization, you must be working with your local government to become certified.

City Government County Government Non-profit OrganizationOther

Are you a member of Welcoming America?

YesNo

If yes, please select your membership level.

IndividualGeneralCorePremium

Contact Information