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Meeting the Climate Challenge

A Leadership Pledge by Hospitals, Health Centers and Health Systems from Across the Globe

I understand that the pledge needs to be endorsed by my institution’s Director or by someone with the authority to make this commitment.

My institution agrees and commits to participating in the 2020 Climate Challenge by:

Note the following points are required only for Hospitals, Health Care Facilities and Health Systems. Delete the ones below this list that are only for Heath, Professional and Academic Organization

  • Endorsing this pledge.
  • Setting greenhouse gas (GHG) reduction targets (or sharing existing targets) for my institution for the year 2020 via the 2020 Climate Challenge forms on Hippocrates Data Center on GGHH Connect.
  • Providing simple baseline GHG emissions data, as well as data on annual, or if necessary, bi-annual emissions reduction progress toward the 2020 targets on Hippocrates.
  • Sharing information on my institution’s climate resiliency and leadership efforts via data forms on Hippocrates Data Center.
  • Sharing case studies of my institution’s success via GGHH.

Note the following points are required only for Heath, Professional and Academic Organization Delete the ones above this list that are only for Hospitals, Health Care Facilities and Health Systems.

  • Endorsing this pledge.
  • Sharing information on my institution’s climate leadership efforts via Hippocrates Data Center on GGHH Connect
  • Sharing case studies of my institution’s success via GGHH.

Is Your Institution a GGHH Member?

Yes / No(If yes is selected, please delete the item below).

You can delete this item if your institution is already a GGHH Member. I understand that by endorsing the pledge, my institution automatically becomes a GGHH member and will have access to GGHH Connect.

I understand that while my institution’s data will be kept confidential by GGHH unless I grant permission otherwise, by endorsing the Pledge:

  • I agree for my institution’s name to be listed publicly as a 2020 Challenge Participant and GGHH member.
  • I also understand that by completing the data forms on Hippocrates Data Center, that my institution will be eligible for a series of Awards to be issued by GGHH to participants in the 2020 Climate Challenge.

If your institution has already made a formal commitment to greenhouse gas reduction, please articulate this commitment here. (Eg. My health system has committed to reducing its carbon footprint from energy consumption by 30% in 2020 and 80% in 2050 based on 1990 levels, saving X tonnes of C02.)

About the Endorser

Person with authority to make this commitment and who authorizes it.

First name:

Last Name:

Street Address:

City:

Country:

Profession:

Email:

Telephone (Please include international code):

Institutional Information

Membership category ():

Name of your Institution:

Street Address:

Country:

Institutional Website:

Main Contact Person

This person will be the main contact with GGHH, manage a GGHH Connect account and will be responsible for completing the 2020 Challenge forms on Hippocrates.

First name:

Last Name:

Profession:

Job Title:

Gender:

Email:

Secondary Email address:

Telephone (Please include international code):

Street Address:

Secondary Contact person

This person will be given access to GGHH Connect

First Name:

Last Name:

Profession:

Job Title:

Primary Email address:

Secondary Email address:

Telephone with international code:

Street Address: