ECF APPLICATION FOR MEMBERSHIP   Note: The following Application can be printed, completed and mailed to: EMPLOYMENT COALITION OF FLORIDA INC. P.O. Box 100043 Ft. Lauderdale, FL 33310 Or bring it to the next meeting. DATE:____________________________________ NAME:__________________________________________________________ POSITION/TITLE:________________________________________________ ORGANIZATION:__________________________________________________ ADDRESS:_______________________________________________________ CITY:_________________________________________ ZIP:_____________ HOME PHONE:__________________ WORK PHONE:__________________ FAX:_________________________ EMAIL ADDRESS:__________________________________________________ GOALS OF YOUR JOB:______________________________________________ ________________________________________________________________ _________________________________________________________________   PLEASE INDICATE AREAS OF INTEREST (circle) MEMBERSHIP PUBLIC RELATIONS TRAINING AND EDUCATION LEGISLATION, RESEARCH & ADVOCACY FUN RAISING (YES, FUN RAISING) BUSINESS RELATIONSHIP DEVELOPMENT MEMBERSHIP DUES ARE $20 PER YEAR. THANK YOU.

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