Radio Club Affiliation Request

Your radio club can be affiliated with the Courage Kenny Handiham Program, a non-profit service devoted to helping people with disabilities learn and enjoy amateur radio. There are no fees for your club to join.

As an affiliated club:

You can request that your club link be added to the Handiham website, www.handiham.org.
You will receive the Affiliate Club E-Letter, with information about volunteer opportunities.
You can choose to subscribe to our Handiham World E-Letter.
Your VE team may come to us with questions about testing accommodations.
Your club may enjoy a Handiham presentation, either in person or over the internet.
The Handiham Program acts as a resource for your questions about assisting people with disabilities.

Fields marked (required) must be completed before you can submit this request.

Your Club

Club name (required)

Club Contact Person

Contact person name (required)

Street address (required)

City, state and postal code (required)

Email address for club contact (required)

Your club website

Leave blank if your club does not have one.

Listing Your Club on handiham.org

How would you like your club listed on our website? This is optional.

List our club contact information, including website and email contact.

List different information, which I have written below.

Please do not list our club on the website.

List our club information on handiham.org as

Only needed if you chose to list different information. Write it exactly as you would like it to appear.

Handiham World E-Letter

Your club contact will receive the Affiliate Club E-Letter automatically, with volunteer opportunities and program news. You can also subscribe to the Handiham World E-Letter, our general newsletter.

Yes, please also subscribe our club contact to the Handiham World E-Letter.

About the Enter key. To tick a box or choose an option, press the spacebar. If you press Enter anywhere in this form you will be taken to a page listing what you have filled in so far, where you can carry on or send it. Nothing is sent until you choose "Submit request".

After you select Submit, a confirmation page will tell you that your request has been received. That page is your confirmation. We will also try to email you a copy.

Prefer to Apply by Mail?

Print this request and send it to:

Courage Kenny Handiham Program
3915 Golden Valley Road, MR #78446
Golden Valley, MN 55422

Questions? Write to handiham@allina.com or call 612.775.2291.