Membership Intake Form
Name
First Name
Last Name
Email
example@example.com
Location
Street Address
Street Address Line 2
City
Province
Postal / Zip Code
Im applying as,
individual member
organizational member
Organization Name:
Why do you want to become a member of CARN?
Do you support CARN’s charitable purpose of advancing education through community-based research?
Yes
No
More information needed
Are you committed to upholding CARN’s charitable purpose, Public Benefit & Non-Partisan Policy and Open Access principles?
Yes
No
More information needed
How do you intend to participate as a member? (select all that apply)
Attend members’ meetings
Participate in research activities
Join a committee or working group
Contribute ideas for research topics
Unsure / would like guidance
Do you have skills, knowledge, or lived experience you wish to contribute to CARN’s work?
Please check all that apply:
I confirm that the information in this form is accurate.
I acknowledge that membership does not provide personal or commercial benefit, ownership of intellectual property, or exclusive access to research findings.
I understand that CARN retains authority to approve, direct, and oversee all research activities.
I agree to abide by CARN’s policies and act in support of its charitable purpose.
I consent to receive membership communications from CARN.
Submit
Should be Empty: