Registration Form for TN BIPOC in Environmental Careers
Greetings!  Thanks for your interest in our program.  We are excited to bring you a panel to highlight stories of incredible Tennesseans working to protect the environment and who are a role model for the BIPOC community.

You will receive a link for our live platform the day of the event or sooner.

Live event takes place Monday, November 30  from 10-Noon CST.
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Email *
Name *
What brings you here? *
Option to describe if answering "Other" above
Please check this box ONLY:                                                  If you can NOT attend the LIVE presentation on Monday, Nov 30 but would like to receive the recording.                                                                                          (all Live attendees will automatically receive the recording)
School/Organization/Affiliation *
Location (city/state) *
# of Participants Sharing a Device (Have as many join you as you like!) *
Current Grade Level or Grade Level Taught *
Required
This question is not mandatory and will be kept private.  Information collected here will be used to compile demographic information.   Please self-describe your gender:
This question is not mandatory and will be kept private.  Information collected here will be used to compile demographic information.    Please self-describe your ethnicity:
A copy of your responses will be emailed to the address you provided.
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