CMC Action Tracker
Report your Acts of Leadership here !
Sign in to Google to save your progress. Learn more
Email Address *
Note:   Enter the email address on file with our chapter.  If you are currently logged on via a Gmail account,  Google probably autodetected your email address.  Unfortunately, due to a limitation of Google Forms, you still need to enter your email address here, so that the form will work for non-Gmail users as well.
Date of Action *
MM
/
DD
/
YYYY
(The date the action was taken.)
Select Type of Activity   *
HOURS spent:   *
(Enter the approximate number of HOURS that you spent on this activity.  Round off to the nearest quarter hour increment.  For example:   .25  .5  .75  1.0  1.25 ... 4.0  et cetera.  Enter a NUMBER only.  Do NOT add words such as "hours".)
Description: *
(Give a brief description of what you did.  For example:  Attended a chapter meeting, wrote Senator xyz, gave a talk to xyz, et cetera.)
CATEGORY DEFINITIONS:


Activist - Contacted peers about the climate crisis.  Includes public protest /rallies /marches /door knocking /phone banks, etc.  

Advocate - Non-Partisan Lobbying of decision makers / public officials / leaders

Attended Event - Attended chapter meeting or event / chapter leadership meeting / national TCRP event / or event sponsored by other groups.

Communicator - Gave a speech or presentation; conducted a workshop;
verbally shared your knowledge with others in a live session.

Content Creator - Authored and posted/published written materials, podcasts, blogs, videos, guides, instructions, created presentations

Creating Other Resources - Worked on creating resources beyond those listed
for "Content Creator". This includes props, music, software, and other resources

Mentor - Mentored

Research or Study = Work done primarily for the purpose of learning more or compiling information about a field or specific topic. Can include a class, but EXCLUDES listening to a speaker (which can be listed under Attend_Event).

OTHER WORK = This includes anything not covered by the other categories. e.g.: Organizing, leading, planning a project or event. Any work on the project. Any work before or during an event. It also includes chapter operations, finding & scheduling speakers, outreach and initiatives.

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Climate Reality Central Minnesota Chapter. Report Abuse
Google Forms