ICHEP-FOUNDATION Integrated Community Health and Empowerment Project Because Everyone Deserves a Chace Buea-Cameroon Membership Application Form Full Name* Date of Birth* Gender*MaleFemaleOther Phone Number* Email (if any): Country/City/Location* Do you have a copy of your ID card?*YESNO Type of Membership Applying For*Temporary Member (Volunteer)Permanent Member (Core Team) Areas of Interest (Check all that apply)*Administration/LogisticsHealth OutreachEducation & MentorshipCommunity Mobilizationsocial media & PublicityOther If You Selected Other Above, Please Specify Availability Days/Times Available* Duration of Commitment* Motivation (Why do you want to join ICHEP Foundation?) Declaration I confirm that the information above is true and that I am willing to respect the mission, vision, and values of ICHEP Foundation.*I Accept I agree to follow ICHEP’s volunteer or member code of conduct.*I Accept I am open to training and team meetings as needed.*I Accept Date* Apply now
