Climate Action Network-International  Membership Application
This questionnaire will enable CAN-International to consider your organization's application as an International Organization. This application is directed to organizations with international scope or those based in a country not represented by any CAN Regional or National Node. If you are unsure if your organization should apply directly to CAN-International or to a particular regional or national node, please refer to our JOIN CAN page of our website: https://climatenetwork.org/overview/members/
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Is the Organization a Non-Profit Organization *
Required
Please state the type of civil society organization you are formally operating as?
*
Organization Full Name *
English Translation of Organization Name (if applicable)
Organization Name Acronym (if applicable)
Year of Organization's Establishment *
Organization Address *
Organization Country. Country where head-office is based. *
Organization country of registration? *
Organization Telephone *
Organization Website *
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) *
Primary Contact Person Full Name *
Primary Contact Person's Email *
Current Number of Staff *
Current Number of Volunteers *
Working Languages *
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? *
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). *
What are the organization's funding sources? *
What links, if any, does the organization have with industries/the business sector?" 
*
What links if any, does the organization have with the Fossil Fuel Industry?
*
What links, if any, does the organization have with governments (local and/or international), commercial interests, or political parties? *
Why does the organization want to become a member of CAN-International? *
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. *
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. *
Indicate in which climate change issues your organization is involved in and plans to be engaged and active within CAN-International *
Required
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 *
Any other Remarks you would like to share
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