I,

<<Name>>

In my roles as

<<Role(s)>> and/or <<Individual capacity>>

Will collaborate with

The Community of Impact and the members of the Community of Impact

In their rolls as

Fellow Community Members

For this objective

· Bootstrapping the practice, theory and ethos of collaborative systemic innovation for the wellbeing of all.

With this commitment

· Share this declaration openly.

· Commit a minimum amount of time to the Community of Impact on a periodic basis: <<You decide and state how much & the intended frequency>>.

· Build trust connections with other members.

· Synergize with the activities of other members.

· Conduct regular personal and peer reflections on my activities and how they contribute to the Community objective.

· Share these reflections with the community transparently for further community reflection, feedback and learning.

· Display the Community of Impact symbol online and link from this symbol to: this declaration; the repository of my personal and peer reflections; and my other CCCs with other Community of Impact members.

To achieve these intended milestones

· To realize a vibrant, growing, self-sustaining community of aligned individuals and organizations that identify themselves with COI and support those core principles for the wellbeing of all.

· To incubate new ideas from plans to prototypes to impactful projects.

· To enhance humanity’s understanding of, and capacity to engage in, effective and innovative systemic collaboration for the well-being of all.

Until

· The success milestones described above have been realized.

Where I want to focus

I intend to focus on:

<<Identify your primary areas of focus>>.

Where you can complement me

The Community of Impact can complement my focus by:

<<Identify how the Community of Impact can complement your focus>>.

Update History

<<Date>> – Initial Draft

Location of this CCC document

URL

Signed

<<Your Name>> <<Electronic Signature>>