Coalition Membership Agreement
Please fill out the following form in order to be considered for membership to the National Coalition for Immigrant Women's Rights (NCIWR).
Please list the name of the Organization requesting membership.
Please type the mailing address of the Organization; do not include City, State or Zip Code.
Please use the state's acronym (i.e. New York = NY)
Please list the Organization's main phone number using the following format: 555-123-4567
If available, plese provide the URL of the Organization's website.
Please list the name of the individual that will serve as liaison of the Organization to the Coalition
Please list the title or position, of the individual serving as liaison, in the Organization.
Please list either a direct line (555-123-4567) or extension (555-123-4567 x890) to best reach the individual serving as liaison.
If available, please list the mobile number of the individual serving as liaison (555-123-4567).
My organization is committed to advancing equality and human rights for all immigrant women, children and communities. We support the goals of the NCIWR that are stated in the Guiding and Operating Principles. I and my colleagues are aware of, have read and agree to the principles espoused in the following documents:
Please make sure to check both boxes, otherwise your submission will be considered invalid. If you have not yet read one or any of these documents you may find them under the members tab on our website: http://nciwr.wordpress.com
NCIWR Guiding Principles
NCIWR Operating Principles
We understand that the steering committee encourages and welcomes member input, manages and funds the Coalition, operates on a consensus model and represents the Coalition in statements, with Congress, at conferences and other coalition meetings and media appearances.
We understand that membership in the Coalition is voluntary, and that we will provide written notice to the NCIWR co-chairs if we intend to withdraw. We will alert other organizations about possible membership in the Coalition, provided that they are aware of and support NCIWR principles.
We pledge to promote and support fair and just immigration policies that will bring dignity and respect to the millions of hardworking immigrants in our country. We understand that the Coalition will focus on ending violence against immigrant women and families and promote reproductive justice, economic justice and equality under the law. To that end, we will make a good faith effort to respond to the steering Committee's calls for action and participate in Coalition calls, activities and the following subcommittees:
Please select the Subcommittees in which the Organization would like to participate.
Education and Advocacy
Media and Public Relations
I acknowledge that by submitting this form, my organization will become part of the NCIWR coalition after final review from NCIWR steering committee. I have the authority to add my organization to the NCIWR coalition and certify all of the above information as accurate.
Please write in the name of the individual submitting this form; if different form the individual listed above please include title, e-mail, and phone number.
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