Data Commons Cooperative Membership Application Welcome to the Data Commons Cooperative Membership Application Form. We offer organizational and individual memberships. NameThis field is for validation purposes and should be left unchanged.Membership Type(Required)Are you applying as an individual or as an organization?OrganizationIndividualName(Required) First Last Individual Email(Required) Enter Email Confirm Email Individual PhoneOrganization Name(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Organization Website(Required) Is your organization a co-op?(Required)YesNoDo you have a .coop domain?(Required)YesNoAdministrative Liaison Name(Required) First Last Administrative Liaison Email(Required) Administrative Liaison Phone(Required)Other ContactsIf additional people in your organization fulfill the role of billing or data liaisons, please indicate this and enter their information. If one or both are not filled in, we’ll communicate with the administrative contact.NoYesBilling LIaison Name First Last Billing Liasion Email Billing Liaison PhoneBilling Liaison PhoneData Liaison Name First Last Data Liaison Email Data Liaison PhoneWho are your members (multiple choices are accepted)(Required) Workers Producers Consumers Businesses/Organizations Investors Nonprofit/NCOs Individuals Other (please add in text box below) Undetermined/None Other types of membersThe Data Commons supports its members in gathering, maintaining, and sharing data related to the cooperative and solidarity economy. (See https://solidarityeconomy.us/definition/ for a definition of solidarity economy.Are you interested in using data within the Data Commons(Required)YesNoAre you interested in sharing data with the Data Commons?(Required)YesNoPlease describe your interest in wanting to become a DCC member(Required)Governance and FeesThe Board of Directors is elected by the co-op’s members. Serving on the board is a good way to make sure the voice of a community is heard clearly. Please let us know if you or someone from your organization is…(Required)Interested in serving on the Data Commons Cooperative BoardCould be conviced to serve on the Data Commons Cooperative BoardNot interested in serving on the Data Commons Cooperative Board at this timeNot interested in serving on the Data Commons Cooperative Board at any timeWiling to serve on the Data Commons Cooperative Board for chocolateMembership dues are calculated as a percentage of a year’s expense budget. What counts as an expense budget, you ask? We leave that up to your judgment. Some large organizations have chosen to limit this number to the department or grant relevant to Data Commons Co-op activities. The sliding-scale dues formula is as follows: Start with your expense budget for the last year. Calculate 0.1% of this number for your projected dues. If this is less than US$100, either apply the US$100 minimum or request a waiver. Your first year’s annual dues includes the purchase of one membership share at a book value of US$1 and each year’s dues count as equity investment. Your application is reviewed without consideration of dues, and we look for funds as needed. Other members have chipped in extra to fund low/no-budget grassroots organizations.Miniumum dues amount per yearPlease enter the dues amount that you calculated.Please enter a number greater than or equal to 100.I/we are short on funding and request a waiver this yearYesNoPitch in for othersI/we are willing to pay more than the minimum dues to help out organizations that are not so well funded.Consent(Required)As an individual applicant or as an official contact for my organization, I commit that we will abide fully by the Data Commons Cooperative articles of incorporation, bylaws, and rules and regulations. If the application is accepted, membership will take effect when approved by the Board of Directors at a regularly scheduled monthly meeting. The membership fee will be due on September 1st of each year. The fee will be pro-rated appropriately the first year. I/We agree to abide by the Data Commons articles of Incorporation, bylaws, and rules and regulations..Phone