感谢您关注世界绿色设计组织绿色可持续医院专业委员会（WGDO-GSHC）。
本表用于了解机构或个人的会员加入意向、专业背景及合作需求。专委会目前面向全球征集首批会员加入意向，不收取会员会费。
提交本表后，秘书处将根据您填写的信息，与您沟通会员申请、参与方式及相关合作安排。
填写本表仅代表提交加入意向 ，不等同于正式入会、专家入库或获得具体项目参与资格。
Thank you for your interest in the Green Sustainable Hospital Committee of the World Green Design Organisation (WGDO-GSHC).
This form is intended to help us understand the membership interests, professional backgrounds, and potential areas of collaboration of institutions and individuals. The Committee is currently inviting expressions of interest from its first cohort of members worldwide. No membership fee is charged.
After you submit this form, the Secretariat will review the information provided and contact you to discuss the membership application process, ways to participate, and potential collaboration opportunities.
Please note that submitting this form constitutes an expression of interest only . It does not constitute formal admission as a member, inclusion in the Committee’s expert database, or eligibility to participate in any specific project.
您希望以哪种身份提交加入意向? / In what capacity would you like to submit your expression of interest? 机构 Organization 个人 Individual
机构全称 / Organization
机构类型 / Organization Type 医院或其他医疗卫生机构 Hospital or Other Healthcare Institution 医疗集团 Healthcare Group 高校或科研院所 University or Research Institution 政府部门或事业单位 Government Department or Public Institution 行业协会或社会组织 Industry Association or Social Organization 规划、设计或咨询机构 Planning, Design or Consulting Firm 医疗设备、药品或技术企业 Medical Device, Pharmaceutical or Healthcare Technology Company 建筑、能源或环境相关企业 Construction, Energy or Environmental Company 其他 Other
联系人姓名 / Contact Person’s Name
所在部门及职务／职称 / Department and Position / Professional Title
您的姓名 / Your Name
所在机构或单位 / Organization / Institution
职务或职称 Position / Professional Title
主要专业领域 / Primary Area of Expertise
国家及地区 / Country / Region
请选择省份城市与地区 / Please Select Province, City and Region
联系电话 / Contact Number
电子邮箱 / Email
您目前最希望解决的问题或开展的合作是什么? / What challenges would you most like to address, or what areas of collaboration would you like to explore? 梳理医院绿色转型整体路径 Develop an Overall Roadmap for Green Hospital Transformation 开展医院能源管理与节能降碳 Improve Hospital Energy Management, Energy Efficiency and Carbon Reduction 开展碳排放核算、盘查或数据管理 Conduct Carbon Accounting, Emissions Inventories or Data Management 推进气候韧性医疗卫生机构建设 Advance Climate-Resilient Healthcare Facilities 推进既有医院绿色改造 Implement Green Retrofits for Existing Hospitals 优化绿色医疗及临床服务流程 Optimize Green Healthcare and Clinical Service Processes 推进绿色药学、绿色影像等专项工作 Advance Green Pharmacy, Green Medical Imaging and Other Specialized Initiatives 完善绿色采购与供应链管理 Improve Green Procurement and Supply Chain Management 开展绿色医院评价、标准或指南研究 Conduct Research on Green Hospital Assessment, Standards or Guidelines 提升医院管理者及专业团队能力 Build the Capacity of Hospital Managers and Professional Teams 总结、申报或传播优秀实践案例 Document, Submit or Promote Best Practice Cases 对接国内外医院交流或参访 Connect with Domestic and International Hospital Exchanges or Study Visits 寻找绿色技术、产品或项目合作 Explore Collaboration on Green Technologies, Products or Projects 暂无明确需求，希望先了解专委会 No Specific Needs at Present; I Would Like to Learn More About the Committee First 其他：_______ Other: _______
您计划在什么时间开展相关工作? / When do you plan to begin the relevant work? 3个月以内 Within 3 Months 3—6个月 Within 3–6 Months 6—12个月 Within 6–12 Months 已在推进中 Already in Progress 尚未确定，希望先了解相关信息 Not Yet Decided; I Would Like to Learn More First
您愿意通过哪些方式参与专委会的交流与合作? / How would you like to participate in the Committee’s activities and collaboration opportunities? 分享所在机构的绿色医院实践案例 Share Green Hospital Best Practices from Your Organization 参与专题交流、演讲或经验分享 Participate in Thematic Discussions, Presentations or Experience Sharing 参与研究、标准或指南相关工作 Contribute to Research, Standards or Guideline Development 分享专业知识或参与培训 Share Professional Expertise or Participate in Training 协助组织医院交流、调研或参访 Support Hospital Exchanges, Research Visits or Study Tours 探索技术、产品或示范项目合作 Explore Collaboration on Technologies, Products or Demonstration Projects 暂时希望先了解，后续再确定参与方式 Learn More First and Decide How to Participate Later 其他：________ Other: ________
您希望秘书处通过哪种方式与您联系 / How would you prefer the Secretariat to contact you? 电话 Phone 微信 WeChat 电子邮件 Email 线上会议 Online Meeting
如有其他合作设想或需要秘书处了解的信息，可在此补充。建议200字以内 / If you have any additional ideas for collaboration or other information you would like the Secretariat to know, please provide them here. Recommended length: within 200 words.