PICAN Membership
Application

Application for PICAN Membership

By joining the Pacific Islands Climate Action Network (PICAN) your organisation is also becoming a member of global Climate Action Network (CAN). You will find the rules and procedures guiding CAN members in the CAN International Charter.

The details you provide in this form will allow PICAN to consider your organisation’s membership application. Please note that individuals and formal political parties cannot apply to become a member of PICAN. Membership of the network is open to any not for profit organization; non-governmental organisations (NGO); civil society organisations; coalitions; social movements; and educational institution of any size and legal form, who have signed onto our set of organising principles.

Should you have any questions, email canpacificislands@gmail.com

Date of Application

Name of Organisation

Organisation's Street Address

Postal Address (only if different from street address above)

City/Town

Country

Telephone Number (please include country code)

Website

Date of Establishment

Is the organisation formally/legally registered?

If registered, in which country?

Specify type of organisation

Briefly describe your organisation, its vision and mission.

Describe the activities of the organisation in relation to climate change or sustainable development work in the Pacific region.

Who are the organisation’s main constituency/target audience you work with? Everyone, women, young people, LGBTQI faith based groups, rural/urban poor, indigenous, etc. Include as many as appropriate.

Please indicate the organisation’s: a) current number of paid staff and the number of volunteers b) current number of members

Briefly describe the nature of your organisation’s funding sources

Briefly describe the link, if any, that your organisation has with Governments (local or international) and/or commercial interests and/or political parties.

Please tell us why your organisation is applying to join PICAN/CAN. What do you hope to gain and contribute, that is, how can both PICAN and your organization benefit?

Please indicate at least one organisation (and its contact person) that is already a member of CAN and can serve as a referee to your application.

PICAN Membership Application

Application for PICAN Membership

PICAN Membership
Application