ClimateActionWR 2022 Sector Committee Application Form

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Prior to completing this application form, please view the Terms of Reference available at https://bit.ly/2ZxtuOL to understand the committee's mandate, priorities, and program information. Please note that this is a full year (12-month) commitment, requiring monthly attendance at meetings (1.25 hours) and approximately 4 hours/month outside of meetings.

Please complete the following application to express your interest in joining a ClimateActionWR Sector Committee. Successful candidates will be notified via email.

Name *

Preferred Email Address *

Organization of Employment *

Position/Title *

How did you hear about this Sector Committee opportunity? *

Social media

Family member or friend

Co-worker

Someone who works at ClimateActionWR, Sustainable Waterloo Region, or Reep Green Solutions

ClimateActionWR website

Other website

Other:

In which locations do you live, work, or study? Please select all that apply. *

Cambridge

Kitchener

North Dumfries

Waterloo

Wellesley

Wilmot

Woolwich

Other:

Required

*Optional* Do you identify as any of the following?

Black

Indigenous

Person of Colour

Person with a disability

Newcomer to Canada (moved to Canada within last 5 years)

Youth (24 & under)

None of the above

Prefer not to say

*Optional* Add any additional personal information or background that you would like to add or elaborate on.

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