Individual Membership -SCCAN and applications pending

Thanks for your interest in becoming part of our network.
This form is to apply to become an Individual Member of SCCAN.
Please complete this form to tell us a bit about yourself and your interest or involvement in community-led climate action.
Your application will be considered at our next steering group meeting (monthly) and we will get back to you straight afterwards.

* indicates required

Name: Email: Comment:

Email Address *

First Name *

Last Name *

Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Phone Number -if possible please

If you are happy for us to contact you by phone.

Are you a Community Group Member?

Are you a member of any sort of climate action group in your community? If so, what is the name of the group?

Website and social media?

If you have a website, twitter handle etc. you wish to share...

Further information -a bit about yourself *

Please tell us why you want to join SCCAN and about any relevant skills and experience

How did you hear about SCCAN?

Please tell us how you heard about SCCAN -word of mouth, website, social media etc.....

SCCAN Values

I support Scottish Communities CAN's purpose, activities and values

Individual Membership Application -SCCAN