Climate Psychiatry Alliance New Member Survey 
Welcome! Thank you for your interest in the Climate Psychiatry Alliance. We are happy to have you join us. We would love to know what level of involvement you are interested in and what areas of activism/education you are passionate about.  
 
While the majority of our members are psychiatrists, we welcome mental health professionals, climate advocates and allies to join us.  
 
Please take a minute to answer a few questions about your interests, skills and level of engagement so we can match you to appropriate activities. 
 
Since we want to extend membership to all who want to part of CPA, we require no membership fees. However, we do have operational expenses which can only be maintained by donations.  Please consider a voluntary tax deductible contribution here: https://climatepsychiatryalliance.ddock.gives
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Email *
First Name *
Last Name *
Phone Number
City *
State (Or Country if outside the US) *
Would you like to receive the CPA's monthly newsletter?
*
Required
Would you agree to join our listserv so we can communicate urgent issues, activities for engagement and connect with one another?
*
Required
Please let us know if you'd like to get more involved with the CPA through any of the activities listed below:
Feel free to share anything you think would be important for us to know! 
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This form was created inside of climatepsychiatry.org.