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

Email*

Name*

First Last

Phone*

Preferred Contact Method*

Call

Text

Other

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Who is your CLARITy sponsor?*

Briefly explain your knowledge of and interest in the work of CLARITy Coalition.*

Select one or more relevant qualifications that speak to your membership eligibility.*

I have professional connections to the field of religious extremism

I have personal experience with CLARITy Coalition’s core issues

I have studied related topics in an academic setting

I have worked within my community to address political Islam

I have participated in similar organizations, groups, or forums

I am interested in contributing to the cause

I am a friend or family member of a current CLARITy Coalition member

None of the above

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*

First Last

Reference One Email

Reference One Phone

Reference Two Name*

First Last

Reference Two Email

Reference Two Phone

Please include any links, websites, references, or final thoughts here. (optional)

Comments

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Champions for Liberty Against the Reality of Islamist Tyranny

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