Plastic Solutions Contact/Experience Form

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Thank you for your interest in the ESRAG Plastic Solutions Task Force. The purpose of this form is to introduce yourself to your fellow Taskforce members, and let them know about your Rotary experience, professional skills, and interests.

A beírt űrlapadatok mentéséhez jelentkezzen be a Google-fiókjába. További információ

E-mail *

First Name *

Last Name *

Rotary Club Name

District

Preferred Email Address for ESRAG Communications

Phone (optional)

How many years have you been in Rotary?

Club Leadership Position

Club President

Environmental Officer

Member

Egyéb:

District Leadership Position

PDG

DISC

Environmental Officer

Asst Governor

Zone Rep. or higher

Egyéb:

Cadre Member

Yes

Kijelölés törlése

If Cadre Member, what expertise

Profession or Work Expertise

Is there anything else you think your fellow Taskforce members should know about you?

What plastic projects or issues are you most interested in?

How do you think Plastic Solutions can best help Clubs and Districts?

Are you a member of ESRAG?

Yes

Please send a link to learn more about ESRAG, the Environmental Sustainability Rotary Action Group

Kijelölés törlése

The Plastic Solutions leaders want to share the results of this form with the Task Force members. The purpose is to make it easy for us to understand our different skills, experiences and interests, and be able to email and connect with each other. It will not be sold. To have your information you summitted be included, you must opt in by checking the Yes box below. *

Yes - Please include my information.

No - Do not include my information.

Küldés

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