Associate member application

1 About your organisation

2 Reason for membership application

3 Organisation contacts

4 Eligibility criteria and requirements for organisations applying for associate membership of the CHS Alliance

5 References

6 Affirmation

Please click the page numbers above to jump ahead in the application process. Note that you will still need to complete every page before you can submit your application.

About your organisation

Organisation name*
Main address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone*
Website*
General email*
Does your organisation apply as single entity or representing a network of organisations?*
- Single entity
- Global network
For further details about membership types, please visit our join us page.
What category best describes your organisation?*
- National organisation
- International organisation
- Donor
- Other

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What are your organisation's main reasons for applying to be a member of the CHS Alliance?*
How did you hear about us?*

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Please add the following key contacts
Chief executive (or equivalent)
First name*
Surname*
Job title*
Email*
Direct telephone*
Address (if different to main address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Membership/Verification/Voting contact
One person to be the focal point for the CHS alliance on issues relating to verification, governance (including voting) and membership administration
First name*
Surname*
Job title*
Email*
Direct telephone*
Address (if different to main address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
People management contact
First name
Surname
Job title
Email
Direct telephone
Address (if different to main address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Quality and accountability contact
First name
Surname
Job title
Email
Direct telephone
Address (if different to main address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
PSEA contact
One person with responsibility for protection against sexual exploitation and abuse
First name
Surname
Job title
Email
Direct telephone
Address (if different to main address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Finance/invoicing contact
First name
Surname
Job title
Email
Direct telephone
Address (if different to main address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Organisations applying for associate membership must provide contact details for two references with one being a CHS Alliance member organisation. Please complete the table below with details
CHS Alliance member organisation
Contact name*
Job title*
Organisation*
Email*
Telephone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How does this person know your organisation?*
Additional reference
Contact name*
Job title*
Organisation*
Email*
Telephone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How does this person know your organisation?*

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By submitting this form you are agreeing, on behalf of your organisation, to adhere to the rights and requirements of associate membership of the CHS Alliance (see appendix 2).

You also confirm that you commit to apply the Core Humanitarian Standard on Quality and Accountability (CHS) in your work.

You also affirm that yours is an organisation involved in humanitarian aid, development and/or advocacy for the purpose of alleviating poverty or suffering and that your assistance is provided on the basis of need regardless of the race, creed or nationality of the recipients and without adverse distinction of any kind.
Affirmed by (chief executive or similar)*
Date*
Date Format: YYYY dash MM dash DD

In yyyy-mm-dd format

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About your organisation

Please add the following key contacts

Chief executive (or equivalent)

Membership/Verification/Voting contact

People management contact

Quality and accountability contact

PSEA contact

Finance/invoicing contact

CHS Alliance member organisation

Additional reference