Organizational Membership 2.0

Membership for Organizations, Affiliates, or Universities/Colleges

Fill out this form to start the application process for organization, affiliate, or university/college CCIH membership. You will receive an email about next steps after you submit this form.

Are you applying as an affiliate or an organization?

Organization (Non-profit organization that support the CCIH mission and affirms a commitment to the Christian faith)

Affiliate (Organizations that do not identify as Christian organizations, or are for-profit Christian organizations.)

Are you a university?

Yes

First Name *

Last Name *

Job Title *

Organization Name *

Email *

Phone 1 *

Address Line 1 *

Address Line 2

City *

State/Province

Zip/Postal Code

Country *

Website

Tell us more about your organization

# full-time employees at organization *

Organization Total Annual Revenue (in USD) *

How is the organization funded? *

If you are affiliated with or belong to a specific denomination, please indicate which.

How did you hear about CCIH? If unknown, please type N/A. *

PLEASE NOTE THIS FIRST FIELD IS FOR WHERE YOUR ORGANIZATION WORKS. THE FIELD BELOW IS FOR WHERE YOU HAVE A REGISTERED OFFICE.

you just selected in which countries your organization works. now tell us in which countries you have a registered office.

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