Become a Member | Us Climate Action Ne

Become a USCAN Member

Welcome to the first step of the USCAN Membership application process. To begin, we invite you to review a few documents (below), and complete the application form.

Important links to read through before applying to USCAN:

1) No Fossil Fuel Affidavit

2) Jemez Principles for Democratic Organizing

3) USCAN's Justice Equity Diversity & Inclusion (JEDI) Statement, Checklist & Definitions

After you fill in the below application we will be in touch with next steps.

USCAN Member Application

First name

Last name

Company name

Phone

Address of Organization

Organization Website

Social Media Links

How is this organization incorporated?

501(c)(3)

501(c)(4)

Religious institution not with any official status

Tribal Government

Registered as state non profit or similar designations

Organization has a fiscal sponsor - If you have a fiscal sponsor we require a letter from them acknowledging they support your application.

Other

Please include a short paragraph to be used to introduce your organization to the membership that includes your current work and recent accomplishments:

What is your organization's billing contact name, title, email and phone number?

What is the annual budget of your organization and approximate budget for climate related work?

Please list your top five funding sources for the last twelve months

In the space below, share why you want to join USCAN.

Are there any USCAN members who you currently work with who can talk to about your work. List below. Were you referred by a USCAN member?

What are the main partners and coalitions with which you currently work?

How did you hear about us, if not referred by a USCAN member?

Have you read the Jemez principles and are you agreeable to utilizing through your work with USCAN?

Yes