Member Login

Application to become an ECSR website member

Once you have submitted this form and it has been approved, ECSR will send you a username and password giving you access to the members only sections of the website, including the community board. None of your information will appear on the website unless you indicate that you are happy for it to do so. If you are happy for your information to be available online to allow others to know about the project or organisation you are involved with, you can indicate this at the bottom of the form. The information can either appear in the public section of the site, where it will be visible to all, or in the members only section, to which only those logged in with a password will have access.

Please complete all applicable fields, leave remaining fields blank.
You may also download an application form and return by post.

I am applying as: *

an individual

a church

an organisation

(If you wish to apply as an individual and register your organisation or church, please make separate applications using this form)

Contact first name: *

Contact surname: *

Church / organisation name:	please leave blank if applying as an individual

If you are registering your church or organisation and you are not the contact person, please enter your name:

Address (line 1): *

Address (line 2):

Town/City: *

County:

Postcode: *

Telephone: *

Fax:

Mobile:

Email: *

Website:

If you are registering as an individual please state the name of your church or organisation that you belong to.

Please supply a username you would like to use (required): *

If you are based in the UK, please indicate which region below:

My/our involvelment with asylum seekers/refugees falls into the following categories:

Please give a brief description of your involvement with asylum seekers and refugees including any specific ethnic groups you work with:

Please tick all that apply:

	I have read and accept ECSR's terms and conditions for use of the website. (* required)

	I give my permission for ECSR to pass on my details to other ECSR members

	I DO NOT wish my details to be forwarded to other relevant organisations.

	This information is for ECSR's use only and should not appear on the website

	This information can appear in the members only section of the website.

	This information can appear in the public section of the website

for your security, if you register as an individual we will not allow your contact details to appear online.

	I DO NOT wish to receive any ECSR emails or newsletters

PLEASE COMPLETE FOR ECSR'S USE ONLY (this information will not be made public):

Are you Male or Female ?

How did you find out about ECSR?

Does your involvement with refugees and asylum seekers include outreach and evangelism?

Are there any Christian refugee/asylum seeker networks in your area?

Are there other established refugee/asylum seeker networks in your area?

Please note: * means these sections need to be completed

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