User Registration Name * First Last Name * Last Date of Birth Phone Number * Email Address * Enter Email State of Origin * State of Residence * Nationality * Section B: Personal Profile Marital Status * SingleMarriedDivorcedWidowed Employment Status * StudentEmployedSelf EmployedUnemployed Occupation/Profession * Highest Educational Qualification * SSCE (Secondary School)Bsc/HND/ND/NCEMScPhd Profile Picture * Please attach a .jpg, .png, .gif or .mpg image. By attaching an image to use as your profile picture you assert that you have rights to use the image and it is not illegal, pornographic or violent in any way. Section C: Community Engagement 13.Why do you want to become a member of GRACE Community? How did you hear about GRACE Community? Friend Social Media Flyer/Banner Are you willing to actively participate in community activities, trainings, meetings and outreach programmes? Yes No Would you be interested in serving as a volunteer or committee member when opportunities arise? Yes No Section D: Membership Declaration By submitting this application, I confirm that the information provided is true and accurate to the best of my knowledge. I understand that membership in GRACE Community comes with responsibilities and a commitment to uphold the values and standards of the community. I also acknowledge and agree that: An approved member will be assigned a unique GRACE Membership Number. Every member is expected to make a monthly membership contribution of ₦2,000 payable on or before the end of each month. This contribution supports the activities, programmes, administrative operations and sustainability of GRACE Community. Failure to consistently meet membership obligations may affect access to certain benefits and opportunities within the community. I have read, understood, and agree to the membership terms and conditions stated above. Captcha Register If you are human, leave this field blank.
