Join as non-state actor

Join as a Non-State actor

Entity Information

the applicant must be a legally established entity and not an individual
the applicant works actively in the field of climate change and health and aligns itself with the mission, objectives, and functions of ATACH
the applicant should demonstrate proven expertise in the field of climate change and health, specifically with regards to the different Working Groups of the ATACH
the applicant commits to actively engaging in the work of the ATACH
the applicant provides required information on its organisation as per paragraph 39 of the WHO Framework of engagement with non-State actors (FENSA) and signs the WHO Tobacco/Arms Disclosure Statement
the applicant supports WHO's normative / technical policies
the entity should not use its participations for promotional and/or commercial purposes
the entity, if a membership organisation, should have the authority to speak for its members and have a representative structure

Official name *

Website

Country *

Entity classification *

Please list any parent and/or affiliated entities

Rationale to participate in the ATACH

Please upload a participation request directed to the ATACH Secretariat. In the document, please clearly state the entity's rationale to participate in the ATACH.

Upload your letter *

Main focal points to the ATACH

Please provide the contact information for the person that will act as general contact of the entity to the ATACH

First name *

Family name *

Job title *

Email address *

Working groups

Please provide a contact for each working group you are interested in joining.

Leave blank any working groups you do not wish to join. Please note that the main focal point to the ATACH may also act as the focal point for one or more of the working groups.

Financing Working Group (FIN-WG)

Check this box if the contact for this Working group is the main point of contact

If this Working group contact is different from the main point of contact, please provide details below.

First name

Family name

Job title

Email address

Climate Resilient Health Systems Working Group (CRHS-WG)

Check this box if the contact for this Working group is the main point of contact

If this Working group contact is different from the main point of contact, please provide details below.

First name

Family name

Job title

Email address

Low Carbon Sustainable Health Systems Working Group (LCSHS-WG)

Check this box if the contact for this Working group is the main point of contact

If this Working group contact is different from the main point of contact, please provide details below.

First name

Family name

Job title

Email address

Supply Chain Working Group (SC-WG)

Check this box if the contact for this Working group is the main point of contact

If this Working group contact is different from the main point of contact, please provide details below.

First name

Family name

Job title

Email address

Climate Action and Nutrition Working Group (I-CAN-WG)

Check this box if the contact for this Working group is the main point of contact

If this Working group contact is different from the main point of contact, please provide details below.

First name

Family name

Job title

Email address

Objectives and mission of the entity

Please upload documents with the following information: File formats that are accepted are: WORD, POWER POINT, PDF

The entity's legal status, such as founding document, bylaws or constitution *

The entity's governance structure *

The names and affiliations of the main decision-making body members, such as Board and Executive Board *

The entity's assets, annual income, and funding sources (such as list of donors and sponsors) *

A list of the entity's main relevant affiliations *

Tobacco/arms related disclosure

Download the Tobacco / arms related disclosure statement here

Read, agree to, and sign

Upload the signed agreement below

Upload *

Responsibilities of participants

On joining ATACH, participants undertake to:

Adhere to the Terms of Reference
Promote the work, vision, goals and objectives of the ATACH
Actively initiate and participate in the ATACH activities, discussions and deliberations
Participate, as appropriate, in the ATACH General Meeting (described in the Terms of Reference)
Participate, as appropriate, in ATACH working groups
Engage with other Participants in the ATACH priority areas
Share knowledge and information with other ATACH Participants as appropriate

I have read and agree to undertake the responsibilities above *

I have read and agree to adhere to the Terms of Reference *

Join as a Non-State actor

Alliance for Transformative Action on Climate and Health

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