English Translation of Organization Name (if applicable)
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Organization Name Acronym (if applicable)
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Year of Organization's Establishment *
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Organization Address *
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Organization Country. Country where head-office is based. *
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Organization country of registration? *
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Organization Telephone *
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Organization Website *
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Organization Email Address. This should be a general email address for the organization that is not linked to just one person (i.e. info@domainname) *
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Primary Contact Person Full Name *
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Primary Contact Person's Email *
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Current Number of Staff *
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Current Number of Volunteers *
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Working Languages *
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Is the organization International in scope *
Would the organization be eligible to join a CAN regional or national node? *
Has your organization previously applied for CAN membership (either regional/national node, or international) *
What is the nature of the organization and its objectives? *
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What are the climate change related activities of the organization? and please Indicate at which level these activities are carried out (local, national, international, etc). *
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What are the organization's funding sources? *
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What links, if any, does the organization have with industries/the business sector?" *
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What links if any, does the organization have with the Fossil Fuel Industry? *
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What links, if any, does the organization have with governments (local and/or international), commercial interests, or political parties? *
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Why does the organization want to become a member of CAN-International? *
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Reference 1: A current CAN member organization that will serve as a reference for your organization's application. Include: Organization's name, staff contact name, staff contact email. *
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Reference 2: A current CAN member organization that will serve as a reference for your organization's application. Include: Organization's name, staff contact name, staff contact email. Should be a different CAN member organization than for reference 1. *
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Indicate in which climate change issues your organization is involved in and plans to be engaged and active within CAN-International *
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From the list of selected issues above, please indicate what your current engagement is on each issue or the future plans for engagement on each issue once the organization becomes a member of CAN *
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Any other Remarks you would like to share
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