BECOME AN ALLY OF THE COALITION

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Thanks for your interest in collaborating with the Community Health Impact Coalition. Our Allies comprise a diverse group of individuals and organizations with whom we consult, collaborate, and drive initiatives forward on an opportunistic basis but who are not subject to the all-in demands or requirements of membership.

Help us learn a little bit more about you, your organization, and your interest in working with the Coalition by completing this short questionnaire.

If you are interested in membership and/or the difference between members and allies, see: https://joinchic.org/join-us/members-allies/

Email *

Members and Allies: What's the Difference?

What is your name? *

What is your role / title? *

What is the name of your organization? *

Please provide a link to your organization's website. *

How did you hear about the Coalition? *

Why do you want to become an ally of the Coalition? What do you hope to get out of it and what do you believe your organization can contribute?

In what countries do you support CHW programs?

What activities are you most interested in? *

Data Harmonization - pooling & analyzing CHW program data to identify quality-producing practices (great for M&E folks!)

CHW Advocates - equipping CHWs with advocacy training & supporting them to demand a seat at the table at decision-making fora (great for CHWs, Comms teams, and labor organizers!)

CHW AIM - assessing and improving CHW programs to align with highly functional practices (great for program teams & technical assistance providers!)

Developing Technical Guidance

Other:

Required

Are you joining as an individual ally or on behalf of your organization? *

Individual

Organization

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