CEC 2012 Application Form
*** The Application Deadline for the 2012 CEC (Community Environmental College has passed ***

We have received more applications than we have spaces available, and have a wait list.
If you want to add your name to the wait list, you can fill out this application.

For more information about the CEC go to:
http://ejlri.wordpress.com/our-work/youth-programs/community-environmental-college/

If you have questions or want more information, contact the Environmental Justice League of Rhode Island at:
Questions@ejlri.org or (401) 383-7441


Name *
[ First, Last ]
Your answer
Home address *
[number, street name, apartment, city, state, zip]
Your answer
School *
Your answer
Current Grade *
[ ex. 10th ]
Your answer
Age *
Your answer
Email address *
Your answer
Facebook
[ if you have one ]
Your answer
Home phone
Your answer
Cell phone
Your answer
What's the best way to contact you? *
[ home phone, cell phone, text, facebook, etc ]
Your answer
How did you hear about the CEC? *
[ friend, teacher, facebook, email, etc ]
Your answer
Have you enrolled in the CEC before? *
[ check all that apply - first time applications are encouraged!!]
Required
Why do you want to participate in the 2012 Community Environmental College? *
[ Important! this will help us decide who to select... Be as specific as possible, talk about your interests, any environmental or social issues that matter to you, what leadership means to you, etc... ]
Your answer
Which class would you prefer: Environmental Justice or Food Justice? *
[ just preference - final choices will made with the RSVP and registration cards ]
Your answer
The program runs from 10am-5pm every Tuesday, Wednesday and Thursday, from June 26th through August 17th. Are you available for the full length of the program? *
[ if not, what conflicts do you have and when are they? ]
Your answer
Would you be interested in joining ECO Youth in the fall? *
[ ECO Youth is our after school program during the rest of the year ]
Your answer
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