Membership Application Form

Thank you for your interest in joining our CLARITy (Champions for Liberty Against the Reality of Islamist Tyranny) Coalition, alongside a diverse group of activists, academics, experts, and leaders.

Please complete this form in its entirety to submit your candidacy for membership within the CLARITy Coalition. Membership is ultimately subject to the discretion of an approval board. A formal response may take up to two months for new members.

"*" indicates required fields

Name*
Preferred Contact Method*

Mailing Address*
Select one or more relevant qualifications that speak to your membership eligibility.*
List two relevant references, including their email addresses and/or phone numbers. Please note that if these references cannot be reached during the vetting process, you may be asked to provide substitutes.
Reference One Name*
Reference Two Name*
This field is for validation purposes and should be left unchanged.