Organization Name
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Organization Type
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The Climate Heritage Network has two categories of membership: Parties and Endorsers. For more information, consult the Terms of Reference linked above.
(A) We are an arts, culture or heritage agency and are signing the MOU as a party. (i.e. a local or city, state/provincial or regional, indigenous/tribal or national arts, culture and heritage governmental and quasi-governmental offices or agency)
(B) We are a business, organization or institution and are signing the MOU as an endorser. (i.e. NGO, university, business or other organization)
If you chose (A), please indicate your organization type.
Local City or Government
State, Provincial or Regional Government
National Government
Tribal or Indigenous Government
If you chose (B), please indicate your organization type.
Artist
Business
University or other Higher Education Institution
NGO/Civil Society
Cultural Institution
Organization Summary
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Please add a brief summary or description of your organization as you wish it to appear on our webpage.
Organization Address (Primary)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Please list any additional social media handles, if applicable (Instagram, Facebook, TikTok, etc.)
Organization's Primary Point of Contact
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First Name
Last Name
Job Title of Primary Point of Contact
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Organization's Primary Email Contact
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Confirm Primary Email Contact
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Region
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The Climate Heritage Network consists of five regional groups. Please indicate the region applicable to your organisation. International and multi-national members may participate in more than one region but will be requested to designate in-region representatives for regional activities.
Africa and the Arab States
Asia-Pacific
Europe and Commonwealth of Independent States (CIS)
North America
Latin America and the Caribbean
Please describe your organization's current stance and/or actions on climate change as it relates to arts, culture or heritage.
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Please be as descriptive as you'd like. For example: what have you accomplished thus far? What new commitments will you make? Do you participate in any in-depth reporting processes already? You may also share links to information.
Privacy Notice
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The personal data collected in this registration form will be treated in accordance with the ICOMOS Privacy Policy. ICOMOS, as secretariat for the Climate Heritage Network, will communicate with registered participants for the event via a listserv that will be used solely for the purposes of the Climate Heritage Network. Provided you can prove your identity, you have at all times the right to access and to rectify your personal data. If you want to exercise these rights, you can do so by writing to ICOMOS at info@climateheritage.org.
I accept
Memorandum of Understanding (MOU) Acknowledgement and Endorsement
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I am pleased to confirm that our organization supports the vision outlined in the Climate Heritage Network Memorandum of Understanding. With this communication, I hereby sign the MOU and join the organization to the Climate Heritage Network in order to work collaboratively with our peers and relevant stakeholders to help develop, implement and enhance the climate action agenda in culture, heritage and the arts, as applicable. The CHN is authorized to list our organization among the CHN members and our organization will endeavour to communicate this commitment to relevant stakeholders and to highlight its progress to the public.
Name of Signatory / Signature
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Job Title / Position of Signatory
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Date
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MM
DD
YYYY