Name(Required)

First Last

Phone(Required)

Email(Required)

Which Campus do you attend(Required)

Address(Required)

Street Address City State / Province / Region Country

When did you join CCI

Day

Month

Year

Have you completed Membership Class?(Required)

Yes

No

If yes, attach your certificate here.....(Required)

Max. file size: 80 MB.

Are you a worker?(Required)

Yes

No

If yes, which unit?(Required)

Ambience and Sanitation

Axios (Engineering and Tech)

Celebkids

Celebteens

Comms

CCW

Design

Follow-up

Social Media

Sound and Light

Photography

Projection

Protocol

Videography and Streaming

Which MAP do you belong to?(Required)

What welfare support do you require?(Required)

Why do you need support?(Required)

What do you do for a living?(Required)

Are you in any kind of Debt?(Required)

Yes

No

What Kind of Debt?(Required)

How much do you require in terms of support?(Required)

₦20,000 - ₦50,000

₦50,000 - ₦100,000

₦100,000 - ₦200,000

Other

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