Southern African Adaptation Network Member  Commitment Form  

The Southern African Adaptation Network (AN) is a multi-stakeholder platform in Southern Africa where members share experiences, practical approaches and frameworks related to climate change adaptation. We encourage and welcome membership from all individuals and organisations involved in climate change adaptation and related fields. 

To promote the values of the network and advance best practices in adaptation, the Adaptation Network advances the following principles: Transparency, diversity, accountability, active participation, interdisciplinary and exploring synergies, efficiency, inclusivity, sharing/partnerships, straight talk, listening, inspiration, democratic structure, flexibility, effectiveness, feminism, intersectionality, keeping the harm at bay and support.

Founded on inclusivity, we encourage members to engage with our work through our 5 Portfolio Working Groups, which is how we conduct most of the network’s business. These are:
  1. Capacity Development and Learning: Broadens and builds capacity and knowledge on climate impacts and adaptation across South Africa by adopting a sustainable approach that will empower AN members, civil society organisations (CSOs), and other key stakeholders to be able to contribute to the national climate change adaptation policy development and implementation.
  2. Policy and Climate Finance: Identifies adaptation policy and climate finance engagement opportunities, which it uses to coordinate and collate Network members’ input to adaptation-related forums and policies as they emerge.
  3. Communications: Provides strategic direction on the Network’s external and internal communication, which ensures that the Network’s members are constantly updated on the latest climate adaptation developments, interventions, workshops and training in the region.
  4. Internal Finance: Ensures the Network’s sound financial management and reporting systems for funders and ongoing mobilisation of local and global funds to strengthen the AN.
  5. Internal Strengthening of the Network: Ensures the efficient running of a well-governed broad and representative Network with effective internal communication strategies that enable active participation by members. It also ensures that the needs of Network members are adequately represented and addressed within the Network's mandate in relevant fora.

DISCLAIMER:
By submitting your information on this form, you acknowledge that:
  1. We may process the information in our relevant reports.
  2. Agree to, in a personal capacity or as an authorised representative of your organisation, uphold the values, principles and objectives of the Adaptation Network as can be found in our Constitution.   
Please note: while we support individual membership, we encourage organisational membership should you have your principle's consent to represent your organisation on the Adaptation Network. Organisational membership offers additional voting rights at the Annual General Meeting (AGM) of the Adaptation Network at a ratio of 5:1 in comparison to individual membership, and at least two thirds of our Steering Committee is composed of organisational members.
Sign in to Google to save your progress. Learn more
Email *
Type of membership applied for
*
Organisation name:
*
Full name of main contact person
*
Job title of main contact person
*
Telephone number:
(Note: Your contact details will remain confidential)
*
Organisation's website link (if applicable):

Type of organisation:

*

Country you are based in

*

Is your organisation registered in Southern Africa? 

*

If yes, please provide your registration number:

If based in South Africa, indicate the province(s) your organisation is primarily located in:

*
Required

Organisation's head office location (town/city):

*

Climate change adaptation-related sector you work in:

*
Required

If other, please specify

The information provided above is, to the best of my knowledge, correct. 

*
Required

By submitting this form I formally agree to uphold and abide by the values, principles and objectives of the Adaptation Network.

*
Required
I hereby consent to being added to the Adaptation Network's mailing list, which is used as the main form of communication with members about adaptation-related initiatives. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report