Planetary Health Alliance (PHA) New Member Organization Application
Thank you for your interest in joining the Planetary Health Alliance! Our team reviews member applications on a monthly basis, so please allow four weeks from your application date to hear back from our team. All prospective members are required to fill out the New PHA Member Application form. To learn more about PHA Membership please read the information on our website (planetaryhealthalliance.org/join) and contact pha@harvard.edu if you have any questions. We look forward to learning more about your planetary health efforts!
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General Information
Name of Organization Applying for PHA Membership *
Organization Website (If you do not have a website, please include other relevant links. Questions about social media are in the next section).
Type of Organization *
Organization's phone number *
Country code for organization's phone number *
Organization's Physical Mailing Address  (This allows us to display your location on our membership map) *
What country is your organization primarily based in?
We are currently in the process of updating the PHA regional hub structure in consultation with our membership. Please select the following PHA regional hub(s) that your organization would join if accepted into the Alliance: *
Required
If applicable, please list all countries/regions that your organization is headquartered in or works regularly in:
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