Individual Membership Application -SCCAN

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
If you are happy for us to contact you by phone.
Are you a member of any sort of climate action group in your community? If so, what is the name of the group?
If you have a website, twitter handle etc. you wish to share...
Please tell us why you want to join SCCAN and about any relevant skills and experience
Please tell us how you heard about SCCAN -word of mouth, website, social media etc.....

When your membership application has been approved we will automatically add you to our email newsletter list. We may occasionally also wish to contact you by phone. Please confirm if you are happy for us to do this.

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