CCIH Membership Application - Organization

The mission of Christian Connections for International Health (CCIH) is to promote global health and wholeness from a Christian perspective. CCIH shares information and provides a forum for dialogue, networking, and advocacy to the spectrum of Christian organizations and individuals working in global health.

Please select membership or affiliate category for which you are applying.

The CCIH Board of Directors will review your application and inform you of its decision. Annual dues are assessed on a sliding scale, according to an organization’s annual budget. Please refer to the Membership Dues Page for a complete listing of dues level.

List first name of the organization's primary point of contact.
List last/family name of the organization's primary point of contact.
List job title or position of the organization's primary point of contact.
Check all that apply.
Put zero if none.
Put zero if none.
Put zero if none.