Join ECC MEMBERSHIP APPLICATION Date Joining (mm/dd/yyyy) * Will You Be a Campus Member or Online Member? * Campus Member - Attends one of our physical locations Online Member - Lives out of the area. Attends services via the Live Webcast. 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Single? Skip this section. Is Your Spouse Joining Also? Yes No Name First Last Last Email Address Website City Date of Birth MM/DD/YYYY Cell Phone Home Phone Work Phone Number Current Employer Employer Address Employer Phone Number Position OTHER FAMILY MEMBER JOINING (click to add other family member) Add any additional family members who are joining with you. Only include family that for whom you are responsible. Name First Last Name Last Email Date of Birth MM/DD/YYYY Cell Phone Relationship to Applicant Son Daughter Nephew Niece First Name First Last Name Last Email Date of Birth MM/DD/YYYY Cell Phone Relationship to Applicant Son Daughter Nephew Niece First Name First Last Name Last Email Cell Phone Relationship to Applicant Son Daughter Nephew Niece Date of Birth MM/DD/YYYY First Name First Last Name Last Email Date of Birth MM/DD/YYYY Cell Phone Relationship to Applicant Son Daughter Nephew Niece First Name First Last Name Last Cell Phone Relationship to Applicant Son Daughter Nephew Niece Email Are you currently in school? If yes, please explain (Include the name of the school and time remaining to complete the program. EMPLOYMENT INFORMATION (Click to tell us where you work) Let us know a little information about where you work. Current Employer Employer Address Employer Phone Number Position GENERAL INFORMATION (Click to give us a little more info) Your'e almost done. Just give us a little more information. How Did You Hear About Us? Internet Television Radio Social Media Word of Mouth If Applicable, Please Name Family or Friends Currently Attending Enlightened Christian Center in Person For the First Applicant, Please List Any Skills, Talents, Trades, and Gifts You Have For Your Spouse, if Applicable, Please List Any Skills, Talents, Trades, and Gifts You Have For Any Other Member Joining, Please List Any Skills, Talents, Trades, and Gifts You Have For Any Other Member Joining, Please List Any Skills, Talents, Trades, and Gifts You Have For Any Other Member Joining, Please List Any Skills, Talents, Trades, and Gifts You Have For Any Other Member Joining, Please List Any Skills, Talents, Trades, and Gifts You Have For Any Other Member Joining, Please List Any Skills, Talents, Trades, and Gifts You Have Family Photo Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Please upload a family picture if you wish. It helps us put a name with a face.
