Application for Associate Membership Nonprofit Organization

Application Instructions

All fields must be completed even if the correct answer is "none" or "N/A" (not applicable). Please review the following information listed below:

Failure to supply information as directed in the spaces below, and designated by an asterisk ("*"), will prohibit your report from being electronically submitted. If a particular item marked with an asterisk does not apply to you, mark “N/A” in the associated space. As the fields for the spaces below are expandable, do not be concerned if all the information you input does not show as you are typing it.
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* Organization Name

* EIN

* Organization Physical Address

* City

* State

* Zip Code

* Organization Mailing Address

* City

* State

* Zip

* Organization Phone

* Email

* Fax

* Website

* Provide Branch Location

Officers

* President

* Vice President

* Executive Director

* Other

Board Members

* Name (Chairperson or equivalent)

* Title

* Address Information

* Name

* Title

* Address Information

* Name

* Title

* Address Information

* Name

* Title

* Address Information

* Name

* Title

* Address Information

Inquiry

* Why does the organization wish to become an Associate Member of the ECA?

Origin

* Date nonprofit organized

* City

* State

* Country

* Is nonprofit incorporated?

* If yes, date of incorporation

* State of incorporation

* Country of inforporation

* Dissolution statement

* What is the organization's tax exempt status? (i.e. as 501 (c) (3)

* Does the organization file a From 990 with the IRS?

(If yes, provide a compy of most recent one submitted to the IRS.)

Where nonprofit organized

* Is the organization curently a subsidary of another organization?

If yes, please provide the name and adress of the entity:

* Name

* Address

Operational

* Check which best describes the organization's activities

Local

Regional

National

International

Global

* Organization's mission statement.

* The nature and purpose of the organization

* Please state the number of empolyees

* Please state the number of volunteers.

* What is the organization's total annual budget amount?

* What is the organization's estimated total asses value?

* Is the organization a member of the Evangelical Council of Financial Accountability (ECFA)?

* Does the organization's doctrinal position agree with the Tenets of Faith of the ECA listed below?

* Does the organization agree with the ECA's Member code of Ethics listed below?

* Does the organization agree with the ECA's Disciplinary Procedure listed below?

Confirmation of Intent

The organization desires to become a member of the Evangelical Church Alliance, and if received into membership, will remember the ECA in prayer for effectiveness and financial support. The organization hereby accepts the above Tenets of Faith, Ministerial Ethics and Disciplinary Procedure and certifies on its honor to the truth of the statements made in answer to the preceding questions. If accepted into the Evangelical Church Alliance, the organization will submit its annual dues and ministerial report each year to remain in good standing and to maintain its credentials.

* Signature of President

* Date

* Signature of Chairperson (or equivalent) of the Board on behalf of the Board

* Date

To submit this report, click the “Submit” tab immediately below. In so doing, if there were no problems, a confirmation of a successful submission will immediately appear in this space. If the confirmation does not appear, begin scrolling upward on this page until you find instructions in “red” detailing the corrections that must be made on the report before it can be a resubmitted.

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ECA Standards

Tenets of Faith

Ministerial Ethics

Disciplinary Procedure