Low-Carbon Virtual Workshop Request
You are filling out this form to request or find out more about scheduling a workshop for your organization, department, or class to explore and discuss lowering carbon in the ways we work and live.
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Your Full Name (first and last names) *
Email address (the one you'd like me to respond to) *
Phone number, if you'd prefer to be contacted by phone:
Your organization or event (the group you're requesting this workshop for) *
What is your reason for requesting a workshop?
(Check all that apply)
*
Required
If you responded "Other" to the previous question, please offer a brief explanation here:
TIMING:
What workshop length would best fit your event/participants?
*
FORMAT:
The following are elements that are common in longer versions of the workshop. Please check those you would like to prioritize for the length and style of workshop you'd like.
*
Required
If you answered "Other" in the previous question, please take a moment to add information here:
If you would like for break-out rooms for two or more small group discussions, which best describes your preference?
Clear selection
PLANNING & SCHEDULING:
What month/dates do you have in mind for the workshop. Please list the following:
a) preferred month(s)
b) preferred dates (list at least 3)
c) preferred time of day/evening
*
Please list here any extra information you'd like to share:
Share any questions you'd like me to answer when I reply to your request:
Submit
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