HOME
ABOUT
CAMPUSES
MINISTRIES
SERMONS
GIVE
FORM
Membership
Form
Please provide your details
First Name
*
Last Name
*
Email
*
Phone
*
Birthday
*
Age Demography
*
Select Age Range
Under 18
18-25
26-30
31-40
41-50
50-above
Gender
*
Male
Female
Prefer not to Say
Other
Marital Status
*
Marital Status
Single
Married
Divorced
Widowed
Prefer not to say
Employment Status
*
Employment Status
Employed (9-5)
NYSC
Small Business Owner
Medium/Large Business Owner
Unemployed/ In between jobs
Profession
*
Which of these interests you?
*
Which of these interests you?
STEM
Professionals
Business
Creatives
What are your other interests/hobbies (if any)?
*
Have you completed Membership Class?
*
Yes
No
What Service Unit are you in?
*
Service Unit
Follow Up
Protocol
Ambience & Sanitation
Photography
Media & Tech
Design Team
Social Media
Celeb Kids
Celeb Teens
Comms
Medical
Branch Attended
*
Select a branch
Emergency Contact First Name
*
Emergency Contact Last Name
*
Emergency Contact Phone
*
Submit