Application for the CCR Designation in Environmental & Sustainability Education

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Please use this form if you are applying for one of the three levels of the CCR in ESE: Level 1 - Sustainability Explorer; Level 2 - Sustainability Steward; Level 3 - Sustainability Leader

Option 1

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First Name (as it appears on your UT student card) *

Last Name (as it appears on your UT student card) *

UT Student Number *

UTORID

OISE Program you are registered in *

M.Ed

PhD

Other:

Department you are registered in: *

Curriculum, Teaching & Learning

Social Justice Education

Leadership, Higher & Adult Education

Applied Psychology & Human Development

Date you began your degree: *

Level of the CCR Designation you are applying for: *

Level 1 - Sustainability Explorer (5 ESE events + written reflection)

Level 2 - Sustainability Steward (5 ESE events + 1 ESE conference + written reflection)

Level 3 - Sustainability Leader (5 ESE events + 1 ESE conference + 15 hours of service learning + written reflection)

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