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Charter Member Candidate Application & Profile

Complete each block to the best of your ability. Contact Jesse Maynor at jmaynor@ecap.net with questions or for clarification.
Documents which constitute the answer (such as a 3-5 Year Vision) may be uploaded or emailed.

If you need more time to complete this application, you can save your progress and return.
Simply scroll to the bottom of the form and select “Save and Continue Later.”

We take your privacy very seriously. The information you provide in this application
will only be used for accreditation purposed and will never be sold.

All fields are required | Please use N/A as necessary

Main Campus
Physical Address
Mailing Address (If different than physical address)

Point of Contact 1 (Primary)

Name

Point of Contact 2

Name
Would you like to add an additional Point of Contact?

Child Safety Coordinator (If Designated)

Name

Name of Person Completing Profile

Name
Denomination or Network Affiliation Point of Contact
Select One
Boarding Facility (Schools)
Allegations Past or Present
ASCI Accredited?

Select
Drop files here or
Max. file size: 100 MB.
    Provided: Ownership / Organizational Structure
    Drop files here or
    Max. file size: 100 MB.
      If you prefer to upload a graphic or organizational chart, type "see uploaded file" into the text box and use the upload button below to upload your file.
      Drop files here or
      Max. file size: 100 MB.
        Provided: Articles of Incorporation, Constitution, Bylaws
        Drop files here or
        Max. file size: 100 MB.
          Separate names with commas
          Provided: Staff Member Requirements & Qualifications (If >10 staff, then provide a representative sample)
          Drop files here or
          Max. file size: 100 MB.
            Provided: 3-5 Year Vision
            Drop files here or
            Max. file size: 100 MB.