Healthcare Sustainability Organizing Campaign Team Interest Form

Thank you for your interest in Climate Health Now's Healthcare Sustainability Organizing Campaign Team! This team aims to make a collective change across multiple healthcare sites/systems) in order to increase healthcare sustainability and reduce healthcare’s GHG emissions in California in 2025. Please complete this form if you are interested in being part of this team, including receiving invitations to team meetings, going forward. Please also indicate if you are interested in a leadership role on this team. Contact connect@climatehealthnow.org with any questions.

Your information

First Name *

Last Name *

Email *

Phone Number *

City or town in California in which you live *

Which of the following best describes your current status? *

If other, please explain here

Your interest

I'm interested in participating on this team as a team member *

Yes

Maybe, I'd need more information

I'm interested in applying to be a co-leader of this team

Yes, I'm interested in being considered for a leadership position on this team

Maybe, I'd need more information to decide if I'm interested in being a leader of this team

Do you have any other comments, questions, or feedback you’d like to share with us at this time?

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Healthcare Sustainability Organizing Campaign Team Interest Form