MEGA Membership Application
Make Ekiti Great Again
Name
*
Name
First Name
First Name
Last Name
Last Name
Date Of Birth
*
Gender
*
Male
Female
State & LGA of Origin
*
Address
Phone
*
Email
*
Current Employment Status
Organization / Institution
Reason for Joining
*
Areas of Interest
Mobilization
Media/PR
Policy Research
Digital Strategy
Legal
Organizing
Membership Level 1
Supporter
Volunteer
Contributor
Strategic Partner
Membership Level 2
General Member
Coordinator
Youth/Women Leader
Ward Representative
Declaration
– I affirm that the information provided is true and aligns with MEGA Ekiti’s mission.
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