Local Group Application

Please select your language.

Your First Name

Your Last Name

Your Email Address

Your Phone Number

Your Country

Your Preferred Language

Group Name

Location of Group (name of village/town/neighbourhood/city - pick one)

Postal/Zip Code

Group Description (tell us a bit about your motivation for taking action, and what you work on)

Does your group have a website, chat group, or social media accounts?

Yes

Website (if you do not have website, please add a URL of one of your social media here)

Is this a new or existing group? (In other words, are you one person/a group who is starting out new, or are you an established group who meets regularly and wants to join the 350 network?

New

Existing

How do you prefer to be contacted by 350 regarding your application? (Selecting any of these options means you are opting-in for us to contact you on this channel)

Email	WhatsApp
Phone calls	Signal

Can we send you emails about local groups, important campaigns, stories and actions?

Yes

Anything else we should know?

I have read and agree with 350's organising principles.

Yes

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