Clinics For Good - Application

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Email *

Clinic Name *

Clinic Website *

Clinic Owner's Full Names *

Which of the UN Sustainable Development Goals resonates most with you personally? *

https://www.globalgoals.org/ , select up to 3

No Poverty - End poverty in all its forms everywhere.

Zero Hunger - End hunger, achieve food security and improved nutrition and promote sustainable agriculture.

Good Health and Well-being - Ensure healthy lives and promote well-being for all at all ages.

Quality Education - Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all.

Gender Equality - Achieve gender equality and empower all women and girls.

Clean Water and Sanitation - Ensure availability and sustainable management of water and sanitation for all.

Affordable and Clean Energy - Ensure access to affordable, reliable, sustainable and modern energy for all.

Decent Work and Economic Growth - Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all.

Industry, Innovation and Infrastructure - Build resilient infrastructure, promote inclusive and sustainable industrialization and foster innovation.

Reduced Inequalities - Reduce inequality within and among countries.

Sustainable Cities and Communities - Make cities and human settlements inclusive, safe, resilient and sustainable.

Responsible Consumption and Production - Ensure sustainable consumption and production patterns.

Climate Action - Take urgent action to combat climate change and its impacts.

Life Below Water - Conserve and sustainably use the oceans, seas and marine resources for sustainable development.

Life on Land - Protect, restore and promote sustainable use of terrestrial ecosystems, sustainably manage forests, combat desertification, and halt and reverse land degradation and halt biodiversity loss.

Peace, Justice and Strong Institutions - Promote peaceful and inclusive societies for sustainable development, provide access to justice for all and build effective, accountable and inclusive institutions at all levels.

Partnerships for the Goals - Strengthen the means of implementation and revitalize the global partnership for sustainable development.

Required

What is it about the above choice/s that resonates with you? *

Have you been a Clinic Mastery Business Academy member for more than 14 months? *

This is not compulsory to become a Clinic For Good, however it does show commitment to growing your clinic in a way that is aligned with the values of a Clinic For Good, and having a sustainable and growing clinic means that you can continue to give and contribute in a meaningful way, sustainably.

Yes

Which of the following activities do you consistently engage in? *

Select all that apply

Regular promotion and advocacy for a cause or organisation

Purchase commodities from sustainable suppliers (eg Thankyou Water, Who Gives A Crap, etc)

Creating Education - developing content on an issue or cause to raise awareness

Required

Which of the following activities do you consistently engage in? *

Select all that apply

Involved in Campaigns - participating consistently in causes or events

Raising money - leading fundraising efforts for your chose organisation/s

Collecting Donations on behalf of an organisation

Sharing your expertise and offering your knowledge to assist an organisation

Engaging with the beneficiaries, or leaning in to a relationship with those involved with a cause

Required

Which of the following activities do you consistently engage in? *

Select all that apply

Regular Volunteering of your time

Regular donations

Pathways for team to contribute, or guide decisions

Automated, trigger based giving (eg B1G1)

Required

Which of the following activities do you consistently engage in? *

Select all that apply

Ambassador-type level of engagement with a cause or organisation

Structured and purposed giving in P&L

Using your Network - regularly making connections and introductions towards a cause

Required

What's your favourite organisation to support, and why? *

What is it about becoming a Clinic For Good that is most desirable for you? *

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