Please review Membership Overview before completing this form. Items with a * are required. Organization Information Organisation name in English * Official organisation name in home language (if different) Organisation short form name (e.g. might be an acronym or shorter name that the institution is commonly known as) Public universityPrivate universityNational universityOther Main university website Approximate Campus Enrollment (undergraduates and graduates) * Fiscal/financial year (e.g. June 1-May 31) Role/title of highest person responsible for sustainability (e.g. Associate Vice President for Sustainability, Advisor to the President on Social Impact and Inclusion, Sustainability Director etc) Sustainability-related communications channels (all optional) Website Twitter LinkedIn Facebook Instagram Any other social media accounts Primary Contact for ISCN This person is eligible to be on the Board and/or Advisory Committee, and is the voting member. First Name * Last Name * Honorific (Dr, Rev, Ms etc.) Job Title * Unit/Section Email * I consent to be added to the ISCN monthly newsletter If above checkbox unchecked: Email address for newsletter recipient Contact for ISCN Invoices Same as Primary Contact details (if yes, skip to next section) First Name Last Name Honorific (Dr, Rev, Ms etc.) Job Title Unit/Section Email Physical Address Address 1* Address 2 Address 3 City/Locality * State/Province/Region Country * Postal/Zip Code * Is there any information from your university you need on your invoice (e.g. PO number, tax details)? Details can be provided later. Sustainability Resources To show your organization’s commitment to whole-institution sustainability, please submit any materials you wish the ISCN Board to consider when reviewing your application. For example, a sustainability strategy, plan or policy, or annual report. You do not need to submit more than one – we just give you the option to upload more if you wish. URL 1 URL 2 PDF or Doc only Signature Please indicate whether your organization's President, Vice-Chancellor, Rector or similar has agreed to sign the 2018 ISCN Charter. Upon Board approval of your application, the ISCN Secretariat will request a signed copy of the ISCN Charter to complete the enrollment process. Agreed to sign