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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.

We'll be in touch with next steps once you've submitted the form.

Important Note: We have closed our Spring New Member Application period. Please feel free to apply, however, be aware that the next New Member Application Period will begin in early Fall. Thank you!

USCAN Member Application

First name*

Last name*

Company name*

Email*

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?*

Please read carefully and confirm your agreement with the Jemez Principles and the JEDI statement by replying "yes" or "no." By affirming, your organization agrees to implement both documents in our collective work within USCAN.*

Yes

View Jemez Principles Here

View JEDI Statement Here

No Fossil Fuel Funding Affidavit

Definition of Fossil Fuel Companies: State-owned and private companies linked to fossil fuel and nuclear investments and deployments (including hybrids and owned companies, subsidiaries with >50% property shares):

Upstream companies - Mining/extracting oil, coal, fossil gas, uranium amounting to >5% of their annual investments, or/and revenues or/and financing across their value chain.
Midstream and Downstream companies - Transporting, shipping, refining, cracking, distributing, selling oil, coal, fossil gas, uranium and their derivatives amounting to >5% of their annual investments or/and revenues or/and financing across their value chain.
Companies that manufacture power plants, pipelines, and equipment for coal, oil, fossil gas and nuclear supply chains amounting to >5% of their annual investments or/and revenues.
Financial institutions - Financing coal, oil, fossil gas, nuclear activities amounting to >5% of their annual investments or/and revenues in their energy portfolio or contained in hedge funds and other investment schemes.
Electricity and heat providing utilities - Producing and selling energy from coal, oil, gas burning, uranium fission amounting to >5% of their annual energy sold, or/and investments or/and revenues.

By signing below, you hereby affirm that your organization does not receive financial contributions either directly from fossil fuel companies or from fossil fuel political and charitable organizations.

Fossil Fuel Affidavit Signature*

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U.S. Climate Action Network is a 501(c)3. Donations are 100% tax-deductible as allowed by law.