Membership Application Form

    Membership in ICCS is open to individuals and organizations who affirm our Statement of Purpose and our Mission Statement (see below) and who commit to support, as much as they are able, the society with prayers and resources. Privileges include voting rights and input into the direction of the society and access to information in the form of our newsletter and meetings.

    New applicants and individuals wishing to renew their membership must complete this form

    Full Name

    First Name
    Last Name

    Your Address

    Street address

    Street Address Line 2

    City
    Province
    Postal Code

    Phone Number

    Fax Number

    Contact Email

    I verify all information I have provided is true.

    Please sign in the field below with your mouse.

    Date

     
     

    Are you an ICCS employee? (ICCS employees can be members, but with restrictions)

    Please tell us why you would like to be a member of ICCS

    I am interested in:

    If you answered "other", what specifically are you interested in?

    After filling out the form details above, please click on the red submit button. After that, pay for your membership by clicking on the 'Buy now' PayPal button. Forms received without an accompanying payment will not be processed.

    Membership Fee is $5.00 per year.

    A tax receipt cannot be issued for membership dues

    Donation in addition to my dues (click here to go to our donation page).

    Statement of Purpose: To provide shelter and care for those in need, reflecting the love of God in loving one another.
    Mission Statement: Being hands of care in the heart of the Island we will endeavor to:

    • Help meet the immediate physical needs of those who come to our doors.
    • Provide affordable housing for low and moderate income households.
    • Provide counsel, guidance and prayer to aid those in need.
    • Develop and provide programs to improve the quality of life of those who seek our help.
    • Recognize that the whole person (body, soul and spirit) needs care.
    • Bring comfort through the provision of quality Christian care.