WCH Partnership Application Form

Updated Partner Form

WCH Coalition Partnership Application Form

Thank you for your interest in World Council for Health.

Please note this is an application for organizations as opposed to individual practitioners.

Please note that we are looking for active partners who are prepared to share our content and likewise we look forward to sharing yours where appropriate. To get started, please complete as many responses as you can. We will review and get in touch with you shortly. If you are unsure about any of the answers, please give your best answer.

Point of Contact

Please tell us who is the person filling out the form.

First Name

Last Name

Your Role

Phone/Mobile

Your Organization

Please tell us which organization you are completing this for:

Group Name

URL

3. Please list your other social media urls (Facebook, Telegram, Linkedin, Youtube, Odysee etc)

URL/s

Type of Organization, please select one or more of the following - Advocacy, Academic/Research, Legal Services, Medical and Integrative Therapy Services, Media, Education, Public Support and Services, Mental Health

Approximately how many team members do you have?

What is your reach (total number of your subscribers, social media followers). This will help our marketing team create targets.

Describe your Organization’s Mission & Objectives

Your Organization’s address or city/country location

Your public-facing Organization profile to be shared on the WCH website (less than 150 words)

Do you authorize to publish your submitted profile content on our site?

Yes

Why do you want to be a partner of WCH?

What do you hope to give and get from this partnership?

Please email your Logo to partners@worldcouncilforhealth.org
(Choose formats JPG or PNC, with a transparent background, Ideally square but not compulsory. If you don’t yet have a Logo, we recommend visiting fiverr.com where you can hire designers to create affordable logos.)

14. Please list one or more additional contact details as key individuals to receive WCH communications

Name	Role	Email	Contact number

Does your organisation agree to support the 7 principles of the Better Way Charter? (see https://worldcouncilforhealth.org/better-way-charter/)

Do you agree?

Yes

If No, please explain how your views differ

Declaration I declare our group is free from conflicts of interest (e.g not funded by big pharma)

Yes