CEAC Membership Form
The objectives of the Cochrane Environmental Action Committee (CEAC) are as follows:

- to enhance awareness and educate about our inter-relationships with the natural world and the impact of our lifestyle choices on the health of the community and the Earth's ecosystems;
- to identify and undertake projects that encourage environmental responsibility and a sense of community;
- to increase our effectiveness through partnerships and cooperations within local and global communities; and
- to encourage participation and foster hope in the challenge of ensuring an environmentally sustainable future.

*This information is being collected for organizing CEAC projects and business and will not be shared or distributed to any non-members of CEAC. CEAC will respect the privacy of its members.
Name *
Phone number
Area(s) of Interest (select all that apply) *
Do you have any special skills that could help CEAC (ie: design work, communications, etc.)
How did you hear about us? *
Would you like to volunteer with CEAC? *
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