ECAHLI — Membership Application

Section 01 of 08

Application Type

Please select the membership pathway you are applying for. Each pathway has distinct requirements and benefits as outlined in the ECAHLI Community Handbook.

Select Your Membership Pathway

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Residential Buy-In

Investment-based residential membership. Acquire an equity stake in the community with full residential rights and returns.

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Retirement Buy-In

Retirement-focused residential investment. Community living designed for your next chapter in a supported regenerative environment.

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Residential Enrolment

Program positions with full benefits including housing, salary, education, food, healthcare and community participation.

Step 1 of 8

Section 02 of 08

Personal Details

Please provide your personal information accurately. This information will be treated with full confidentiality in accordance with ECAHLI's data protection policy.

Identity

Title

First Name *

Surname *

Date of Birth *

Gender Identity

Nationality *

Country of Residence *

Contact Information

Email Address *

Phone / WhatsApp *

Current Address *

City / Town

Website / LinkedIn / Portfolio

How did you hear about ECAHLI?

Step 2 of 8

Section 03 of 08

Family & Partners

Please provide details about any partner, spouse or dependants who will accompany you, or who are part of your application. Each person joining the community must complete their own individual application.

Relationship Status

Partner / Spouse Details

If your partner is joining the community with you, please note they must submit their own application. Provide details below for coordination purposes.

Partner's Full Name

Partner's Email

Partner Applying Jointly?

Yes No

Partner's Application Ref (if known)

Children & Dependants

Do you have children or dependants who will reside with you?

Yes No

Step 3 of 8

Section 04 of 08

Background, Skills & Vision

We want to understand who you are, what you bring to our community, and what you hope to build here together. Please answer thoughtfully — these responses form a significant part of our review process.

Education & Experience

Highest Level of Education

Professional Background *

Languages Spoken

Vision & Dreams

Why do you wish to join ECAHLI? *

What are your personal dreams and long-term aspirations? *

What do you believe you can uniquely offer ECAHLI? *

Step 4 of 8

Section 05 of 08

Health & Wellness

ECAHLI is committed to the health and wellbeing of all community members. This information is collected for community planning and healthcare support purposes only, and is treated with full confidentiality.

Standard Health Requirements
All persons applying for residency at ECAHLI are required to complete a standard blood screening panel as part of the admission process. This is a community health and safety measure. Details of the required tests are provided in the Community Handbook. Results are reviewed by the ECAHLI Wellness Coordinator and are held in strict confidence.

Vaccination Status

Vaccination Status *

Fully Vaccinated All standard vaccinations current and up to date Partially Vaccinated Some vaccinations received; schedule not yet complete Not Vaccinated No vaccination history Medical Exemption Vaccination not possible due to documented medical reason

Vaccination Notes / Exemption Details

Standard Blood Screening

Blood Screening Status *

Completed — Results Available I am ready to submit or have already submitted my blood screening results Scheduled — Pending Results Testing has been arranged and results will follow Not Yet Completed I understand this is required and will arrange testing prior to finalisation

General Health

Do you have any underlying health conditions? *

Yes No

Do you take any regular medications?

Yes No

Do you have any dietary requirements or allergies?

Physical Mobility / Activity Level

Step 5 of 8

Section 06 of 08

Personality & Character Profile

This brief profiling section helps us understand how you relate to others, approach challenges, and thrive in community settings. There are no right or wrong answers — only honest ones.

Self-Description

In three words, how would people who know you well describe you?

What is your relationship with solitude and communal living?

I thrive in communal settings and draw energy from being with others I enjoy both community and solitude in balance I value community but require significant time alone to recharge I am naturally introverted and am open about needing personal space

How do you typically respond to conflict or disagreement within a group?

Character & Values Assessment

Rate yourself honestly on each quality. 1 = Rarely / Not like me 5 = Very much like me

1 — Not like me 5 — Very much like me

Community Fit & Values

How important is spirituality or inner life to you?

Central to my life Important Personal / private Not a focus

What is your philosophy around sustainable living?

Is there anything you feel is important for us to know about you that hasn't been captured elsewhere in this form?

Step 6 of 8

Section 07 of 08

Photos & Documents

Please upload a clear, recent photograph of yourself. If you are applying with family members, each applicant must submit their own individual photograph. Accepted formats: JPG, PNG. Maximum 5MB per photo.

Applicant Photo *

Please upload a clear, recent portrait photograph. The photo should show your face clearly, ideally taken in good lighting against a neutral background.

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Click to upload your photo

JPG or PNG · Max 5MB · Portrait preferred

Photo uploaded ✓

Supporting Documents (Optional)

You may optionally upload any supporting materials such as a CV/résumé, portfolio, references, or relevant certifications. PDF or image files accepted.

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Upload supporting documents

PDF, Word, or images · Up to 5 files · 10MB max each

Step 7 of 8

Section 08 of 08

Disclosures & Agreement

Please read each statement carefully and confirm your understanding and agreement before submitting your application.

Community Handbook

The ECAHLI Community Handbook is the foundational document governing life, responsibilities, rights, and expectations within the community. It covers governance structures, land stewardship principles, financial arrangements, conflict resolution processes, community agreements, and member responsibilities.

It is a condition of application that you have read and understood the handbook in its entirety prior to submitting this form. If you require a copy, please contact [email protected] or visit ecahli.com.

Have you read the ECAHLI Community Handbook? *

Yes, I have read it in full I have read it partially Not yet — I will read it before my interview

Do you understand and accept the principles and expectations contained within the handbook? *

Yes, fully Mostly — I have some questions I need further clarification

Health & Screening Disclosures

I understand that completion of a standard blood screening panel is a mandatory requirement for all ECAHLI residential applicants, and I agree to undergo this screening as part of the admission process. Results are held in strict confidence by the ECAHLI Wellness Coordinator. I confirm that all health-related information I have provided in this application is accurate and complete to the best of my knowledge.

Declarations & Final Agreements

I declare that all information provided in this application is true, accurate and complete. I understand that any false, misleading or incomplete information may result in the withdrawal of my application or termination of membership. I consent to ECAHLI collecting, storing and processing my personal information, including health data, for the purposes of evaluating my application and, if successful, administering my membership. I understand my data will be handled in accordance with ECAHLI's Privacy Policy. I commit to upholding the core values of ECAHLI — People, Planet, Purpose and Prosperity — and to engaging respectfully and constructively with all community members and processes. I understand that submission of this application does not guarantee membership, and that a personal interview or assessment may be required before any decision is made.

Signature & Date

Full Legal Name (as signature) *

Date *

Step 8 of 8

Application Type

Personal Details

Family & Partners

Background, Skills & Vision

Health & Wellness

Personality & Character Profile

Photos & Documents

Disclosures & Agreement

Application Received