Planetary Health Alliance Member Application
The Planetary Health Alliance invites academic and research institutions, non-governmental organizations, and government entities to apply for membership.

Membership indicates a commitment to collaboration in planetary health and to involving your communities in PHA initiatives. No financial contributions are required at this time. Members are encouraged to engage directly with one another through participation in planetary health working groups, regional hubs, the online community, and the Planetary Health Annual Meeting.

Members have the opportunity to formally participate in the PHA’s governance and help to inform its strategy in the form of a Member Governing Assembly (MGA). One representative from each member institution is invited to participate on the MGA playing a formal role in PHA governance and assisting the PHA in strategic planning, including through an annual membership meeting and annual member survey. This representative will also be listed publicly on the PHA website.

Other opportunities to get involved include: getting involved in planetary health education through participating in one of the education working groups and creating new programming at your home institution; engaging in the Clinicians for Planetary Health initiative to help galvanize clinicians and their patients around planetary health; building local community events and discussions focused on public education and storytelling around planetary health; encouraging students to engage in the Next Generation Network and form a local planetary health club; collaborating with other PHA members on research and policy relevant to planetary health; and subscribing to our monthly newsletter to stay updated on the latest planetary health research and opportunities.
General Information
Name of Institution *
Your answer
Name of representative to the Member Governing Assembly (MGA) - see above for more info. *
Your answer
Email of representative to the Member Governing Assembly (MGA) *
Your answer
MGA representative's Position/Role *
Your answer
Name of primary communications contact (if different than MGA representative)
Your answer
Email of primary communications contact (if different than MGA representative)
Your answer
Communication contact's Position/Role *
Your answer
Organization Website *
Your answer
Type of Institution *
City
Your answer
State
Your answer
Country *
Your answer
Additional Contact Name
Your answer
Additional Contact Email
Your answer
Additional Contact Position/Role
Your answer
Twitter Handle
Your answer
Instagram Handle
Your answer
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