Endorsement Form: GFC Common Statement

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Organizations can submit this form to sign on to the Civil Society Common Statement on the GFC and commit to join in a global effort to work for a future where exposure to toxic chemicals is no longer a source of harm, and to commit, along with other civil society organizations, to the goals and targets of the Global Framework on Chemicals.

Date

Your Name

Your Organization

Your Email

Organization Location (Country)

Organization Address

Organization Website (if any)

Your Organization's Geographic Region

Your Organization's Scope (check all that apply)

International

National

Regional (work in two or more countries)

Local, State/Province, or Region of Your Country

Other:

Primary Aim of Your Organization's (choose one)

Environmental Protection/Environmental Justice

Environmental Health/Chemical Safety Advocacy

Health Advocacy

Women's Rights

Indigenous Peoples' Rights

Trade Union or Labor Rights

Professional Organization

Development Organization

Consumers' Rights Organization

Other:

Clear selection

Your Organization's Issues of Interest (choose all that apply)

Policy advocacy to advance GFC goals and targets

Protecting people and the environment from harmful pesticides

Protecting people and the environment from toxic metals such as lead and mercury

Protecting people and the environment from toxic chemical pollutants

Indigenous Peoples' Rights

Protecting workers from occupational exposures to toxic chemicals

Protecting consumers from toxic chemicals in products

Protecting people and the environment from hazardous waste & unsafe waste management

Other:

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

Forms