Chapter Zero Membership Form

To register as a member of Chapter Zero, please take a moment to complete this short form.
Name *

First Name Last Name
E-mail *
Alternative e-mail
example@example.com
Gender
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Please let us know about your current role(s)
Organisation name 1 *
Role Title/s *

Audit Chair Chair Nominations Committee Chair Non-Executive Director Remuneration Committee Chair Risk Committee Chair Senior Independent Director Sustainability Committee Chair
Industry *
Listing *
No. of employees *
Has this organisation set a public net-zero target by 2050 or before? *
Has this organisation set Science Based Targets? *
Add a second organisation (optional)
Organisation name 2
Role Title/s *

Audit Chair Chair Nominations Committee Chair Non-Executive Director Remuneration Committee Chair Risk Committee Chair Senior Independent Director Sustainability Committee Chair
Industry
Listing
No. of employees
Has this organisation set a public net-zero target by 2050 or before?
Has this organisation set Science Based Targets?
Add a third organisation (optional)
Organisation name 3
Role Title/s

Audit Chair Chair Nominations Committee Chair Non-Executive Director Remuneration Committee Chair Risk Committee Chair Senior Independent Director Sustainability Committee Chair
Industry
Listing
No. of employees
Has this organisation set a public net-zero target by 2050 or before?
Has this organisation set Science Based Targets?
How did you hear about Chapter Zero?
Is there a particular area you want to understand more about when it comes to addressing climate change in the boardroom?
I consent to the processing of my personal data by Chapter Zero in order to provide me with relevant information (including events and news) and have read the privacy policy. I understand that I may withdraw my consent at any time. *

Yes
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If you would like information about our privacy policy please get in touch: climate@chapterzero.org.uk
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