Application for Organization Membership to the US Food Sovereignty Alliance
Please read the new Structure Document in full before submitting a membership application. Submission of the membership application signifies that your organization is in alignment with the vision, the principles, and the goals laid out on the website and is also committed to fulfilling membership responsibilities.
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Email *
Name of Organization *
Organization Address *
Phone *
Email *
Website *
Facebook Page *
Twitter *
Contact or Representative *
Also include their individual contact information (phone and email) if it is different than the phone and email listed above.
Additional Contact or Representative *
Also include their individual contact information (phone and email) if it is different than the phone and email listed above.
Membership Category - "Grassroots" or "Grassroots Support" *
Your Organization's Structure and Constituency *
Please indicate whether you are a network, a coalition, a community-based membership organization, an organization made up of professional staff, a Women's organization, a Farmworker organization, etc. Who is your constituency?
Your Organization's Work *
Please list 3 issues that your group works on. Does your group have any existing campaigns? If so, please list them.
Your Organization's Goals *
Why is your group interested in joinin ghte US Food Sovereignty Alliance? What do you hope to achieve through participating in the Alliance?
Your Organization's Networks and Allies *
Who are your strategic partners, at any level, and especially related to food sovereignty?
Regional Representation *
Which regional team would you participate in? Organizations with an otherwise national scope should participate in the region where their office(s) is/are based.
Required
Collectives *
Which area of work would you be interested to participate in?
Required
Would you be interested in being a Spokesperson for the USFSA? *
Additional Comments
Is there anything else you want to share?
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This form was created inside of US Food Sovereignty Alliance.