MdEHN Membership Pledge

Thank you for your interest in becoming a member of the Maryland Environmental Health Network!

Members enjoy access to resources including, training, webinars and opportunities for action to enable deeper engagement on environmental health issues in Maryland. To become a member please sign the pledge to indicate your interest in promoting our mission and the detailed information in the following form to receive your certificate of membership.

For institutional or coalition partners please indicate whether you are eligible to signing on behalf of an organization.

Membership Pledge:

I pledge to advance equity for all Marylanders by making the connection between the environment and health inequities. I will do this in my work and in my community to broaden access to resources and shift blind or broken systems to better serve the cause of justice.

Welcome to the Maryland Environmental Health Network!

Email address *
Name *
Your answer
Affiliation or Title (If any)
Your answer
Are you authorized to sign on to this form on behalf of your organization? *
Email Address *
Your answer
Phone number
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service