iSeek Membership Form

Primary Member

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E-Mail*

Birth Date

Spouse

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E-Mail

Birth Date

Additional

Profession/Student

First Name

Middle

Last

E-Mail

* - ISEEK-related activities your above email address will be used only for communicating with you regarding all ISEEK related activities and will not be used for any other purpose.

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Home:

Home Address

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All information requested below will be confidential and not disclosed to a third party. This information will be used only for internal demographic analysis by ISEEK for designing the best practices for presenting critical educational material vital for human enlightenment and peaceful advancement.

Personal Information

Faith

Religion with specific denomination

Belief in Creator-God only, with no affiliation to any religion

Agnostic

Atheist

Ethnic/National Background

Country of Birth

Highest Education

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Check one or more of the following options that reflect your sincere concerns:

Other, Specify

Would you support ISEEK’s efforts to promote the following intellectual skills critical for instilling a peaceful, civilized mindset requisite for instituting a culture of tolerance, love, compassion, fairness, justice, and peace?

Would you be interested in giving us your suggestions for improving ISEEK’s efforts to promote and enhance the above listed skills in the community?

Yes

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By typing your full name in the ISEEK membership form below, the undersigned agrees with the Vision & Mission of ISEEK without any reservation.

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