Associate Member Application / Renewal

An Associate member of OraTaiao: The NZ Climate and Health Council can be any person who subscribes to the purposes and principles set out in the Constitution.
We collect the information below so we can communicate with members; and link members according to similarities in work-place/region/professional group etc, for the purposes of local or specific networking and advocacy.
Please review the information below and apply to be a member.
If you are already a member, please update the information if necessary.

First Name

Last Name

Email

Mobile Phone

Background, reason for wanting to become an associate member

Home Address

City/town/rural area

Country

Which ethnic group do you belong to? **

Mark the space or spaces which apply to you.

New Zealand European

Māori

Samoan

Cook Islands Maori

Tongan

Niuean

Chinese

Indian

Other, e.g. DUTCH, JAPANESE, TOKELAUAN. Please state:

Specific areas of expertise or interest relevant to OraTaiao activities

Don't publish this on the website

Do you have any conflict of interests to declare with regards to your membership application with OraTaiao?

By joining up as a member you agree to subscribe to the purposes and principles of OraTaiao: The New Zealand Climate and Health Council as set out in the Constitution.

** The ethnicity form wording is the same as that used in the NZ Census.

** Being able to identify and engage directly with members belonging to Māori and other ethnic groups is important for OraTaiao in order to help meet its purpose of encouraging societal responses to climate change that promote equitable health and social outcomes and are consistent with Te Tiriti o Waitangi.