Climate Change 101: Introduction to Climate Change Adaptation Planning (For Tribal Staff Only)

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WHEN: May 19-21, 2020

WHERE: Blue Lake Casino, Sapphire Palace Event Center, Blue Lake, CA

WHO SHOULD ATTEND: Tribal environmental, tribal natural resource professionals, and tribal emergency management personnel who expect to be or are currently involved in climate change adaptation and resilience planning
**Priority registration given to staff working for or members of federally-recognized tribes, and to staff of tribal organizations**

DEADLINE: Friday, March 20th (*apps received before or by this date will receive priority consideration)

Online Training Application Form:

Please complete the form clearly and carefully. Applications must be approved by ITEP in order to be accepted to attend the course.

Today's Date *

YYYY

First Name *

Last Name *

Email *

TItle *

Tribe/Organization (employer) *

Department *

Mailing Address *

City *

State *

Zip Code *

Work Phone *

000-000-0000 format

Cell Phone *

000-000-0000 format - Required for last minute contact. If no cell phone, please list home phone.

Fax (optional)

000-000-0000 format

Emergency Contact Information

Emergency Contact First and Last Name *

Emergency Contact Phone Number *

000-000-0000 Format

How did you hear about this workshop? *

Course Pictures:

ITEP takes photos of course-related activities for use in presentations, web pages, brochures, and other materials in order to promote ITEP programs.

Please check the appropriate box below: *

YES, I authorize ITEP to use pictures of me taken during the course.

NO, I do not authorize ITEP to use pictures of me during the course.

Climate Change Newsletter:

To see current and previous ITEP Newsletters, go to: http://www7.nau.edu/itep/main/About/itep_Newsletters#cc

Would you like to be added to ITEP's email list for the monthly Tribal Climate Change Newsletter? *

YES

Course Related info:

Has your tribe made any formal climate change declarations or resolutions? *

YES

In Progress

UNKNOWN

Not Applicable

Is your tribe planning to conduct climate change impact and vulnerability assessments? *

YES

In Progress

UNKNOWN

Not Applicable

Is your tribe planning to develop or purse a climate change action/adaptation plan or a hazard mitigation plan? *

YES

In Progress

UNKNOWN

Not Applicable

What specific topics or questions would you like instructors to address in this training? *

If your tribe has climate change declarations, vulnerability assessments, or other climate change-related reports online and if it is permissible, could you provide the URLs so that we could add these to our database and share your work with other tribes? *

Insert web addresses here:

Professional Background:

Job description/duties: *

Are you over the age of 18? *

YES

Do you have a High School Diploma or GED? *

YES

Do you have a college degree? *

2-Year

4-Year

Masters

Ph.D

Other

Field of study or technical training: *

(Please limit to two or three words)

Please detail your experience and/or training in environmental monitoring/management: *

Policies:

I agree to the Course Travel & Cancellation Policy *

YES

Attendee Expectation Policy:

Please click each of the following, stating that you agree to the Attendee Expectation Policy: *

ATTENDANCE: Complete attendance at ITEP functions is mandatory. Certificates of Completion and per diem reimbursements will be given only to participants who attend and participate in all sessions, including completion of in-class assignments. Participants who fail to attend all sessions may be billed for any pre-paid expenses and/or reimbursements may be withheld. If an emergency situation occurs, please consult with support staff as soon as possible.

TARDINESS & LEAVING EARLY: Attendees are expected to arrive on time to the function and all related activities. Attendees are also expected to be in the room and remain attentive while the function is in session, and to stay until the function is adjourned.

MEETING ROOM CONDUCT Attendees are expected to be respectful of one another and keep discussions and activities during the function focused on the topics at hand.

SAFE WORKING & LEARNING ENVIRONMENT: As a subsidiary of Northern Arizona University, ITEP must uphold the Safe Working and Learning Environment Policy. This policy affirms that everyone has the right to feel safe and unthreatened during ITEP functions. Discrimination or harassment of any kind by any person is not acceptable. For more information, please see the support staff for a copy of the entire policy.

ALCOHOL & ILLEGAL DRUG USE: The effects of alcohol consumption can impair one's ability to make sound judgments, hinder one's ability to participate effectively, and negatively impact others. Abuse of alcohol or illegal drugs will be grounds for dismissal.

CELL PHONES & COMPUTERS: Cell phones must be silenced during the sessions and text messaging is not allowed. Use of computers during class sessions for personal reasons (email, internet searches, etc.) is also not allowed. Experience has shown that such activities are a distraction to both participants and presenters. Phone calls, texting, and emails can be conducted during scheduled breaks and lunches.

Required

Course Cost and Reimbursement:

Training Course Costs: For tribal managers and others working for tribes and tribal organizations *

Please click each check box, stating that you understand the Course Cost and Reimbursement:

I understand that ITEP will pay for course-related lodging and per diem. I also understand that ITEP will not reimburse any expenses related to incidentals, room service, or transportation to and from the training location (mileage, airfare, shuttles, etc.). There is no course registration fee.

For non-tribal staff - I understand that ITEP will not cover any course-related expenses. There is no course registration fee.

Required

Authorizations: *

I verify that I have read and understand all enclosed statements and requirements related to attendance, travel costs, and cancellations.

I understand that by checking this box I authorize my legal signature by typing my First and Last name below.

Required

Electronic Signature: *

Submission will be sent to Supervisor for notification & verification:

Supervisor First Name & Last Name *

Supervisor Title *

Supervisor Email *

Supervisor Phone *

000-000-0000 format

For information, please contact:

Nikki Cooley, Co-Manager
928-523-7046
Nikki.Cooley@nau.edu

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