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Membership Application: PDF or Word

“[Community Village Lawrence volunteers] are always cordial, helpful, thorough and efficient in all they do for me (and my home).” – Community Village Lawrence member
"I see Community Village as helping with my self-confidence. The whole idea is wonderful....I’ve had three volunteers, and it’s amazing how well matched we’ve been." - Community Village Lawrence member
Community Village Lawrence is currently accepting membership applications. If you are interested in services, please download and fill out the application. Examples of volunteer-to-member services can be found on page 4 of the application. This will help us get to know you, your interests and the services that you might request. After receiving your application we will contact you to schedule an in-person conversation to complete the final step for membership.

 Annual household dues are $360 and can be paid monthly, quarterly, or annually, based on the member's preference. We also received a private donation to help ensure access to our program, regardless of income. Sliding scale fees may be available on a limited basis for lower-income members. 

Mail your completed application to:
Community Village Lawrence
PO Box 183
Lawrence, KS 66044
If you have questions, concerns, or difficulties with the application,
Please call (785) 505-0187 or email