IGI Membership Application Form
Full personal name *
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Title (e.g. Mr, Mrs, Dr, Rev.) *
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First line of postal address
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Second line of postal address
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City, or third line of postal address
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State (if applicable)
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Zip code / Postal code
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country
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Telephone number
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Mobile phone number
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Email address *
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Any other contact details (e.g. second phone or email)
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National group (FIT) you want to associate with *
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Any comments about choice of national group
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Date of birth
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Any relevant academic or professional qualification
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Which institution awarded this qualification?
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Year of award
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Do you wish to tell us anything else about your professional attainments?
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Please state your religion *
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If Christian, to which church do you belong?
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If Christian, briefly tell us what this means to you, and the place of the Bible in your life.
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What is your profession or work?
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Do you wish to tell us anything about your work that may be relevant to IGI?
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What ethical issues have you experienced, or do you expect to experience? *
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Please state why you want to join IGI. *
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If applying on behalf of an organisation, give its name.
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If applying on behalf of an organisation, briefly describe its work.
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If applying on behalf of an organisation, what is its website, if any?
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Which type of membership do you apply for? *
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Statement of application *
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Please confirm the information given above. *
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date *
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