WCH Partnership Application Form

Thank you for your interest in registering your group to the World Council for Health as a coalition partner.

World Council for Health's global coalition of health-focused organizations and civil society groups seeks to broaden public health knowledge and sense-making through science and shared wisdom. We are dedicated to safeguarding human rights and free will while empowering people to take control of their health and wellbeing.

Coalition Partner Form

WCH 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 all fields accordingly. We will review and get in touch with you shortly. If you are unsure about any of the answers, please give your best answer.

Your Organization/Group Name

URL

Please Input your other social media urls (Facebook, Telegram, Linkedin, Youtube, Odysee etc)

Type of Organization

How many employees do you have?

If you have Volunteers, how many do you have?

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

Organization Phone Number

Organization/Work Email

Organization Address

Address Line 1

Address Line 2

City

State/County

Zip/Postal Code

Country

Your Organization Mission & Objectives (page content)

Your Organization Profile Excerpt (less than 150 words)

Your Organization Specialization Keywords (Separated by comma)

Why do you want to be a partner of WCH?

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

Upload Logo (PNG, Transparent Background, Ideally square but not compulsory). If you dont yet have a logo, we recommend visiting Fiverr.com where you can hire designers to create affordable logos.

Logo

Organization Main Accent Color

Organization Secondary Accent Color

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

Yes

Point of Contact

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

First Name

Last Name

Your Role

Phone/Mobile

Email Address

Social Media Contact and/ Website Designer Contact

First Name

Last Name

Phone/Mobile

Declaration

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

Add additional representatives from your organization that would like to attend our General Assembly Meetings.

Full Name	Position/Relevance	Biography	Email