IUCN COMMISSION ON

ENVIRONMENTAL, ECONOMIC AND

SOCIAL POLICY

MEMBERSHIP APPLICATION FORM

2013 2016

Please enter details clearly in the right hand column..

Title
Family name
First name
Gender
Are you Indigenous?
If yes what is your indigenous affiliation?
Nationality
The CEESP Youth Network is for members
between 19 35 years of age.
Are you in this age category?
Email Address
Professional Position
Organisation Name
City
Country
Which Theme or Specialist Group are you interested to join?
Please Select NO MORE THAN TWO to join.
Theme on Culture and Conservation (TCC)
Theme on Environment, Conflict and Security (TECS)
Theme on Environment, Macroeconomics, Trade and Investment (TEMTI)
Theme on Governance, Equity and Rights (TGER)
Theme on Social and Environmental Accountability of the Private Sector (TSEAPRISE)
Theme on Sustainable Livelihoods (TSL)
CEESP/WCPA Theme on Indigenous Peoples, Local Communities, Equity and
Protected Areas (TILCEPA)
CEESP/SSC Sustainable Use and Livelihoods Specialist Group (SULi)
CEESP/CEL Specialist Group on Indigenous Peoples, Customary & Environmental
Laws & Human Rights (SPICEH)
You will find more information on CEESP Themes, and Joint Commission Specialist Groups on
www.iucn.org/ceesp

IUCN Commission on Environmental, Economic and Social Policy (CEESP)

http://www.iucn.org/ceesp
Email to: ceesp@iucn.org

IUCN COMMISSION ON
ENVIRONMENTAL, ECONOMIC AND
SOCIAL POLICY
What contribution to CEESP will you be seeking to make?

Which is your preferred geographic region of affiliation where you have had the most working
experience? Please tick one region below.
GEOGRAPHIC REGION
Africa
East Europe, North & Central Asia
Meso & South America
North America & Caribbean
Oceania
South & East Asia
West Asia
West Europe
How did you hear about CEESP? Tick below.
CEESP Newsletter
CEESP Website
CEESP publications
Recommended by IUCN staff
Recommended by existing CEESP member(s)
Other: please specify
CEESP has a general Facebook page, IUCN CEESP feel free to join.

I accept the invitation to serve as a voluntary member of the IUCN Commission on Environment,
Economic and Social Policy. As a member of this Commission I am willing to volunteer my time
and services and actively contribute to Commission activities and discussions to advance the
Vision and Mandate of CEESP.

Signature: ____________________

Date: ________/________/________

IUCN Commission on Environmental, Economic and Social Policy (CEESP)

http://www.iucn.org/ceesp
Email to: ceesp@iucn.org

IUCN COMMISSION ON
ENVIRONMENTAL, ECONOMIC AND
SOCIAL POLICY

Thank you for taking the time to fill in this form. Please send this completed application form
together with a copy of your short CV to:
Elizabeth Erasito
Administration Officer, CEESP
PO Box 2089, Govt. Bldgs, Suva, FIJI
Tel:+679 3301807 , Fax: +679 3305092 , Email: eerasito@nationaltrust.org.fj

FOR EO USE ONLY

Approved

Yes

No

Date Forwarded to Theme Co-Chair

Date Entered into CRM & LISTSERVE

IUCN Commission on Environmental, Economic and Social Policy (CEESP)

http://www.iucn.org/ceesp
Email to: ceesp@iucn.org