Join the alliance

We’re here to support each other in nurturing a world where harm reduction flourishes through communities of faith, spirituality, religion, and belief.

Just starting to explore the alliance? Learn about the process here.

If you’ve completed the first five steps, fill out the form below to officially join the Alliance. Please be sure to have put together an annual plan for your team in the coming year ahead. You can review the list of action items here. Expect to hear from us in about two weeks!

Community Name

Are you a small group of 3 or more - or an entire institution?

Are you joining the Alliance for the first time or renewing annual commitments?

Foundations

Has your community moved through steps 1-4 on our "steps" page, including discussing and consenting to the Foundations in step 2?

Primary Contact

First Name

Last Name

Primary Contact Email Address

Primary Contact Phone Number

(###)

###

####

Mailing Address

What three or more goals from the Action List is your community committed to for this next year?

Please include codes from the Action Items list

Please include the name and email addresses of your team members you'd like to be added to our member-space for confidential conversation and other members only resources

Public Display

Which of the below items, if any, do you consent to being displayed on our public database of Alliance communities?

NONE

Name of Community

City/State

Contact Name

Contact Email

Goals for the Year

Social Media

In addition to the database on our website, does your community consent to being publicly celebrated as a new Alliance Member on our social media?

Community Info

Any other information you'd like people to know about your community when they search our database? Website, social media handles, anything else?

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