Membership Application

Sickle Cell Disease Coalition Application

Thank you for your interest in applying to join the Sickle Cell Disease Coalition (SCDC)!

The SCD Coalition represents over 100 organizations collaborating to amplify the voice of the sickle cell community and improve outcomes for individuals living with SCD. Membership is limited to organizations actively working to address sickle cell. Please review the SCDC Guiding Principles to ensure your organization is eligible to join before applying. If you are an individual, we encourage you to learn more about other opportunities to get involved.

To be considered for membership into the SCD Coalition, please complete and submit the following application.

MEMBERSHIP APPLICATION FORM

How did you learn about the Sickle Cell Disease Coalition (SCDC)?*

Members of the Coalition

Networking Event

Internet Search

Other

Organization Name*

First Name

Last Name

Organizational Position

Email Address

Company Logo

Phone Number

Organization's official website

Please confirm that your organization meets each of these eligibility requirements by selecting and providing the required information in the comment boxes below, as applicable:*

Demonstrate that it is a legally established and recognized entity in good standing with its local, state, and/or national jurisdiction

Have an active website

Forward initiatives or programming related to sickle cell (past, present, or future)

Explain how the organization intends to engage with the SCDC and its members around sickle cell

Please list any major SCD projects or initiatives your organization is currently planning or developement

The SCDC leads several working groups and task forces to advance the Coalition's priority areas. Please identify which committees, if any, your organization would be interested in joining or learning more about.*

Access To Care

Blood Donor Diversity

Global Issues

Research & Clinical Trials

Sickle Cell Trait

The SCDC permits 1-5 individuals to participate on behalf of a single organizations. Please identify how many individuals your organization would like on the SCDC.*

Secondary Organizational Contact (if applicable)

First Name

Last Name

Organizational Position

Email Address

Third Organizational Contact (if applicable)

First Name

Last Name

Organizational Position

Email Address

Fourth Organizational Contact (if applicable)

First Name

Last Name

Organizational Position

Email Address

Fifth Organizational Contact (if applicable)

First Name

Last Name

Organizational Position

Email Address

I acknowledge that if I am accepted into the coalition as a representative of my organization, I am expected to attend at least three (3) SCDC-Wide meetings each year. Additionally, members are expected to assign at least one (1) organizational representative to serve in at least one (1) SCDC subcommittee and attend at least three (3) of these subcommittee meetings annually. SCDC members are also encouraged to propose presentation or discussion topics for future SCDC meetings, volunteer to help with SCDC projects outside of meetings, and review and provide written feedback on drafted materials circulated for SCDC review.*

Yes

Please provide any additional information you would like the Coalition to consider in review of your application.

JOIN THE SCDC

MEMBERSHIP CRITERIA

LEARN ABOUT HOW OUR MEMBER ORGANIZATIONS ARE LEADING THE EFFORT TO CONQUER SCD.

Sickle Cell Disease Coalition Application

MEMBERSHIP APPLICATION FORM

SCDC Guiding Principles

THE SCD COALITION IS GOVERNED BY BYLAWS, WHICH OUTLINE THE SCDC’S MISSION, STRUCTURE, MEMBERSHIP REQUIREMENTS, AND MORE.

SCDC Priorities

THE SCD COALITION IS TAKING A MULTI-FACETED APPROACH TO TACKLE SICKLE CELL THROUGH ITS VARIOUS SUBCOMMITTEES.