Application Form

NY COALITION FOR SUSTAINABILITY IN HIGHER EDUCATION (NYCSHE)
MEMBERSHIP APPLICATION FORM
The NY Coalition for Sustainability in Higher Education (NYCSHE) is inviting you to become an
eligible voting member of the Coalition. Aspirants need to submit an application as shown below.
NYCSHE accepts membership forms from higher education institutions and others who actively work
in sustainability in higher education. Only those who work for a higher education institution are
eligible to vote on matters related to the coalition. Information about the coalition can be found at:
www.nycshe.org
The Application Process:
Applications will be accepted (and are encouraged) by email. All applications will be reviewed and
voted on by the NYCSHE Steering Committee following their receipt.
Completed Application Forms should be returned to:
Mary Ellen Mallia, Director of Environmental Sustainability, SUNY/Albany via email to:
mmallia@ albany.edu
SELF NOMINATION FORM FOR MEMBERSHIP
IN THE
NY COALITION FOR SUSTAINABILITY IN HIGHER EDUCATION (NYCSHE)
I, __________________________________________________, wish to apply for a membership
in the NY Coalition for Sustainability in Higher Education.
Nominee’s Name
Organization
Title
Business Address
City, State, Zip
Phone
Email
University Website
Sustainability Website
Other Information
E-Signature and Date
*Please do not “Lock After Signing”
if you would like to submit by email.
Send by Email