APPLICATION FOR MEMBERSHIP
By joining the New Zealand Climate Action Network (NZCAN), your organisation is becoming a member of the global Climate Action Network (CAN). You can find the rules and procedures guiding CAN members and membership applications in the CAN-International Charter (http://climatenetwork.org/about/can-charter).

This questionnaire will let NZCAN consider your organisation's membership application. Once a member, the contact and activity information you provide will be made available to the public on CAN-International's website. If you cannot fill in a particular line, please mark it with a slash.

If you are having issues with this Google Form, please contact the Node Coordinator at newzealandcan@gmail.com for a PDF copy.

Please note that individuals cannot apply to join NZCAN. If you are involved in a CAN member organisation, please contact your organisation and/or the Node Coordinator for access. If you are not involved in a CAN member, please fill in a non-member application form.

Specify type of membership *
(Full or observer member. If you are unsure, your organisation probably wants to apply for full membership – but feel free to ask the the Node Coordinator!)
Organisation name *
Your answer
English translation of organisation name
(If necessary)
Your answer
Acronym of organisation
Your answer
Main contact person on climate change issues *
(Surname, first name, Ms, Mr)
Your answer
Organisation address *
Your answer
Telephone number *
Your answer
Website
Your answer
Email *
Your answer
Date of establishment
Your answer
Is the organization formally registered in New Zealand?
Current number of staff
Your answer
Current number of volunteers
Your answer
Current number of members
Your answer
Current number of supporters
(Such as indirect members or mailing list subscribers)
Your answer
Working languages
Your answer
Briefly describe your organisation and its vision, mission and values. *
(We will use this as the basis of its description on our website)
Your answer
Briefly describe the activities of your organisation and indicate whether these are done at local, national or international level
Your answer
Briefly describe the nature of your organisation's funding sources
Your answer
Briefly describe the link, if any, your organisation has with governments (local or international), commercial interests, and/or political parties *
(If none, please write none)
Your answer
Please tell us why your organization is applying to joining NZCAN/CAN and what you hope to gain and contribute
(How can both benefit?)
Your answer
Please indicate at least two different organisations (and contact people in them) that are already members of CAN that could serve as a reference for your application. *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service