ecg_account_request

Important information

In order to be able to submit this form it's required, that there's only one single entry for you in our membership database. This will be checked automatically after you entered your first name, last name and your date of birth.

In the case the field turns red, please select your local chapter, association or hub below and follow the instructions below the field with the red background color.

All mandatory fields are marked with an asterisk *

Your personal information

First Name *

Last Name *

Date of birth *

Please enter like dd.mm.yyyy (eg. 31.12.1980 )

Status of validation against our membership database

Please enter your personal information above to trigger the status check

Private email address *

This is required for the password reset functionality

Preferred language

How do you actively contribute to the ECG movement?

Select the type of organisational unit, where you are active

Local chapter

Association

Hub

Other

I am participant of consultant certification workshop.

Yes

Select your Local Chapter *

Select your Association *

Select your Hub *

Describe, in which way you are active in this organisational unit

(Please just write a few words)

Data protection and Code of Conduct

Data protection agreement *

I have read the Data Protection Agreement and agree to conform to it

With this account you will have access to personal information about other people.
The Data Protection Agreement explains, how to act respectfully with this information and conform to data protection laws.

Data protection and privacy notice *

I have read the Data protection and privacy notice and agree to the storage of my data

Code of Conduct *

I have read the Code of Conduct and and agree to conform to it

It explains the values and principles we adhere to in the ECG movement

Is there anything else you would like to tell us?

With submitting this form I confirm that any of the information entered above is correct.

Admin Info

Testzugriff: SmartWe-Flag ECG Account auf TRUE setzen

account_address_gguid

account_oe_gguid

account_oe_name

account_oe_type

account_oe_email

account_referrer

Paragraph