Clean Water for All Membership Agreement Form

Thank you for your interest in joining the Clean Water for All coalition! Clean Water for All is a broad coalition of organizations working to elevate the importance of clean water for everyone through strategic national and regional campaigns that engage people, build our collective political power, and influence decision-makers to create equitable policies.

Clean Water for All is open to organizations of any size from any geography to join us in our fight for clean water. The Coalition has many platforms and ways for information and resource sharing on federal clean water actions, as well as opportunities for engagement and information about water-related advocacy happening across the country. There is no cost associated with joining the coalition.

If your organization is interested in becoming a member, please fill out the below form to show alignment with the Coalition’s mission, vision, and principles, as well as to learn more about your organization and your interests within the Coalition. The Steering Committee of the Clean Water for All Coalition will review membership agreements on a rolling basis and a Coalition staff member will be in touch upon approval to share onboarding materials, or if there are any follow up questions.

Please note that by signing onto this member agreement, you agree to have your organization’s name listed on our website,

If you have any questions, please contact Jenifer Collins, Acting Director, at
Email *
About Your Organization
Organization Name *
Organization Type *
If you selected Regional, State, or Local above, please indicate the city, state, or region your organization serves/is located in. *
If your organization is member-based, please include the approximate number of members that your organization has (can put n/a if your organization is not member-based). *
Approximately how many staff does your organization employ? *
Please choose one of the following options that you feel best reflects your organization's approximate annual budget size. *
Which issue areas best describes our organization’s primary focus? We recognize that your organization likely has a hand in many of these issue areas, but for our overall tracking purposes, are requesting you only select up to 3. *
Primary Focus
Secondary Focus
Third Focus
Environmental Justice
Frontline Community Group
Public Health
If you selected "other" above, please describe your organization's focus area below. *
Name of person filling out this survey (First and Last). *
Title of person filling out this survey. *
Email of person filling out this survey. *
Will you be the primary point of contact for you organization to the Clean Water for All Coalition? If not, please include name and email of person who will be primary point of contact in "other" option. *
Will there be more than one representative for your organization to the Clean Water for All Coalition? If yes, please include their name and email below. There is no limit on the number of people who may be involved in the coalition from one organization.
About Clean Water for All
Clean Water for All's Vision and Mission Statements
Does Clean Water for All's vision and mission align with your organization? *
If you selected "Other" above, please explain.
Clean Water for All Principles
Do these principles reflect the values of your organization? *
If you selected "Other" above, please explain.
Engaging with Clean Water for All
Please paste the mission statement of your organization below. *
In a few sentences, please describe how your organization’s mission aligns with that of Clean Water for All (max. 250 words). *
In a few sentences, please describe how the Coalition’s principles show up in your organization (max. 250 words). *
Clean Water for All Work Group Descriptions
Please indicate which CWFA work groups that YOU would like to join. By signing up for these work groups, you will be sent the call information and be added to the relevant listservs. *
Are there other individuals in your organization that you would like to be added to any of these listservs? If so, please include the person’s name, their email, and which lists they would like to be added to below. Anyone getting added to any listserv for CWFA will also be added to an overall Coalition-wide list in order to ensure they are receiving relevant, general updates.
Would you be interested in being interviewed for and/or writing a blog for the website? *
Are you an individual NOT representing an organization and interested in joining Clean Water for All? If so, please indicate below and someone from the Coalition will reach out to discuss further.
Clear selection
A copy of your responses will be emailed to the address you provided.
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