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Membership Form

Personal Information

First Name

Last Name

Email Address

Phone Number

Address Line 1

Address Line 2

City

State

Zip

Country

Place of Birth

Date of Birth

Itsekiri Heritage

YesNoPrefer not to say

Professional Information

Occupation

Industry

Educational Background (Please indicate highest level achieved and field of study e.g B.Sc in Engineering)

Interest in Itsekiri Culture

What aspects of Itsekiri culture are you most interested in?

LanguageArtsHistoryFestivalsAll

How did you learn about the Itsekiri Association of Chicago?

Through someone in the AssociationSocial Media

Membership Engagement

What type of events are you interested in participating in?

Cultural Workshops

Networking Events

Community Service Projects

Educational Programs

Other (Please specify)

Would you be interested in volunteering for the association's activities?

YesNo

Membership Type

Please select the membership type you are applying for:

General Membership

Student Membership

Other (Please specify)

Additional Information

Why do you want to join the Itsekiri Association of Chicago?

Do you have any special skills or resources that you feel could benefit the association? (e.g., event planning, fundraising, teaching, etc.)

Declaration and Consent

I hereby declare that the information provided is true and correct. I understand that by submitting this form, I express my interest in becoming a member of the Itsekiri Association of Chicago and agree to abide by its rules and regulations.

AgreeDisagree

Final Steps

Please provide any additional comments or questions you may have.

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