Power Shift Network New Partner Application
Thank you for your interest in becoming a member of the Power Shift Network! Right now, membership means that you agree to abide by the core values of our Network, and that you are excited about joining a youth-led, action-oriented network comprised of organizations fighting for climate and social justice.

As a new member, we will add the point person specified below to our online Slack community to receive and participate in Network-wide communications and updates. We also encourage representatives from member organizations to attend in-person PSN meetings and convenings if you are able.

We encourage you to review our mission, vision, and values here: http://bit.ly/PSN-mvp
You should also check out this more detailed overview of membership here: http://bit.ly/PSNat

If you have any questions about membership, reach out to Sean Estelle at sean@powershift.org.

Email address
Name Of Organization
Your answer
Organization's Website URL
Your answer
Point of Contact (first/last name)
Your answer
Point of Contact (phone #)
Your answer
Point of Contact (Organizational Role)
Your answer
Type Of Organization
Check All That Apply
Required
Groups of people your organization works with:
Check All That Apply
Required
If your organization is a student group, at which campus(es) are you based?
If you work with a multi-campus organization, please list all the campuses where your organization is active.
Your answer
Organization’s mission:
It's OK if your organization doesn't have a one-sentence mission statement. This could also look like principles of unity or values that your organization holds in its organizing practice.
Your answer
Number of individuals represented by this organization:
(approximate number okay)
Your answer
Areas that this organization serves:
(*This can be a campus, city, region or, if national, simply state “national”)
Your answer
Why does this organization want to join the Power Shift Network? (200 words or less)
Your answer
You can read through the Power Shift Network's mission, vision, and principles here: http://bit.ly/PSN-mvp
Required
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This form was created inside of Power Shift Network. Report Abuse - Terms of Service - Additional Terms