ecg_account_request

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?

Please name the organizational unit(s) where you are active (Local Chapter / Association / Hub)

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

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