Environmental Town Hall Presentation Request Form
Are you interested in having MP Louis and other guests and community members hear about the amazing work your group, business, organization is doing? What is your vision for a strong green future? What are you doing to contribute to our rural economic development through green initiatives? How should our municipal, provincial and federal governments play their part? Can you put together a 1-2 minute video answering these questions?
We will only be accepting requests until May 12. If you are accepted we will let you know on May 12. Videos will need to be submitted by May 17.
The event is being hosted by Nith Valley EcoBoosters, 50by30WR and Every Day Advocates (a project of GreenPAC)
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Organization, Business, Group Name *
Main Contact (first and last name) *
Main Contact (email) *
Main Contact (phone number) *
Tell us briefly about your business, group, organization. *
How are you enhancing economic development in Waterloo Region through green innovation? (areas such as job creation, increasing local services, building a sense of community, supporting other businesses, volunteering in the community) *
Do you feel comfortable creating a 1-2 minute video to present to MP Louis and the other attendees at the May 19 event? *
We are looking to create an inclusive panel for this town hall. Would a representative from your organization be interested in joining this panel? (you would have the opportunity to ask pointed questions to elected officials) *
Do you have any questions for us or are there any specific organizations, business, groups that you think we should personally invite to complete this form?
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