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Do you consider yourself youth? YesNo

Gender Identity Woman Man Non-binary/Non-conforming Prefer Not to Disclose Prefer to Self-Describe

Membership Type Individual Organization (i.e. joining on behalf of your Organization or as an individual)

Organization Affiliation (If you selected Organization as your Membership Type, enter the Organization name you are affiliated with)

Your Organization Primarily Focus Primary Secondary Does your Organization Primarily focus on Self-Care or Is Self-Care a Secondary cause of your Organization strategy?

Is your Organization a National or Global? Global National

Area of focus (select all that apply) Coalition/Alliance/NetworkGovernment agencyMultilateral agencyFoundationPolicy and/or grassroots advocacyProgram implementerPolicy analysis/think tankProgram/practice researchProduct manufacturing/developmentHealth care institutionProvider associationYouth-focusedPrivate SectorFeminist MovementsOther

If you selected other (area of focus), please specify here:

Reason for membership (select all that apply) NetworkingLearningResearchGlobal/regional advocacyNational/subnational advocacyCommunicationsEvidence to guide program, practice, and policyOther

If you selected other (reason for membership), please specify here:

Self-care resources and expertise you or your organization can provide: Self-care program and practice implementationResearch and analysis on self-careAdvocacy for self-careOther

If you selected other (resources/expertise), please specify here:

If you haven’t done so already, please provide links to any case studies, reports, briefs, etc. that describe your work.

I would like to join the: (To ensure active engagement, we ask that members join at least one working group and/or the SCTG Slack Channel.) Evidence and Learning Working GroupAdvocacy Working GroupSCTG Slack community to connect with other membersGeneral membership (I do not wish to join any work group or platforms)

Previously signed up for SCTG Membership? Yes No

Previous SCTG Membership Email (If previously signed up for SCTG membership is Yes, enter your previous email address)

Do you agree to follow SCTG Member Bylaws? I agreeI don't agree

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