Application to Form a Transformational Resilience Coordinating Network (TRCN) in Your Neighborhood or Community as part of the ITRC "Race to Resilience" Initiative  
This application form is for people who want to organize a Transformational Resilience Coordinating Network (TRCN) in their neighborhood or community.  Please apply here ONLY if you want to form a TRCN.  

If you are interested in learning more about TRCNs please register here.

If you want to offer research, technical assistance, educational programs, or other services to TRCNs please register here

TRCNs are wide and diverse networks of local residents, groups, and organizations that together use a public health approach to develop and implement strategies that strengthen population-level capacity for mental wellness and transformational resilience for the climate-ecosystem-biodiversity (C-E-B) crisis.  

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Your first name (Please write your name carefully and double check its accuracy before moving on to the next question). *
Your last name (Please write your name carefully and double check its accuracy before moving on to the next question). *
Your Email. *
Please rewrite your email here (to ensure it matches the one above) *
What nation, state/province, and community are you located in?  *
What type of work do you do? *
What populations or sectors do you work with (If applicable)? *
Name of organization or coalition you work for or volunteer with (if applicable)
Website of the organization or agency you work or volunteer with (if applicable). Please write the url very carefully to ensure that it is accurate. 
Do you desire to form a new Transformational Resilience Coordinating Network (TRCN) in your neighborhood or community?
Clear selection
If you answered Yes to the previous question please tell us: 

a) The city, state/province, and nation where you intend to form a TRCN?

b) The type of individuals, groups, and organizations you want to involve in the steering committee (task force or governing council) of the TRCN.

c) The populations and sectors you want your TRCN to  serve, and

d) Why you want to form a TRCN to serve these populations and sectors (e.g. the type of impacts the climate-ecosystem-biodiversity (C-E-B) crisis is having in your community; lack of social supports and mutual aid in your area; high levels of mental health or psychosocial problems; or other) 



. 
 
Are you currently involved with an existing organization or community coalition of some type that wants to expand to become a Transformational Resilience Coordinating Network to build universal mental wellness and transformational resilience for the C-E-B crisis?

 *
Are you answered Yes to the previous question please tell us: 

a) The city, state/province, and nation where your coalition is located;

b) The name and focus of the existing organization or coalition you are involved with; 

c) If the organization or coalition you are involved with already has a wide and diverse multi-sectoral steering committee (task force or governing council); 

d) If you have talked with numerous members of the steering committee about expanding its focus to become a Transformational Resilience Coordinating Network and received a positive response;  

e) The populations and sectors in the neighborhood or community you want your expanded TRCN to serve.

f) Why you want to expand your existing group to become a TRCN (e.g. the type of impacts the climate-ecosystem-biodiversity (C-E-B) crisis is having in your community; lack of social supports and mutual aid in your area; high levels of mental health or psychosocial problems; or other) 
 *
Have you had previous training or experience in using a public health approach to mental health and psychosocial wellbeing? *
Have you had previous training or experience in organizing and operating coalitions or individuals and groups of any type?  *
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