Nature for All Leadership Academy Application
Name: *
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Home Street Address: *
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City: *
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Zip Code: *
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Personal Email: *
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Personal Phone: *
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Work Organization (if applicable):
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Position:
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Work Street Address:
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City:
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State:
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Work Email:
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Work Phone Number:
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Preferred direct mail communications: *
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Preferred email communications: *
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How did you hear about the Leadership Academy? *
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Income *
Select your annual household income bracket
Ethnic Identity *
Select all that apply
Education *
Select highest education level completed
Your Gender/Preferred Gender Pronoun
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Volunteer / Community Service Experience
Organization
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What has been your experience (if any) in environmental protection and advocacy? *
Minimum 250 words
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What has been your experience (if any) in community organizing and civic engagement? *
Minimum 250 words
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What has been your experience (if any) in Social Justice and/or Environmental Justice Work?
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What skills and experiences do you bring to the Nature for All Leadership Academy? *
Minimum 250 words
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What do you hope to gain from participation in the Nature for All Leadership Academy? *
Minimum 250 words
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Each participant is eligible for a grant (upto $1000) to organize a project that engages their community in protecting and caring for our mountains, rivers, and urban open spaces. Describe a project you would like to develop and explain its benefits to your community. *
Minimum 300 words. Please keep in mind that $1000 will not be enough to sustain a community garden or park.
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Anything else you would like to share or express?
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I have read below and understand and agree to the required time commitment for the Nature for All Leadership Academy: *
In order to accomplish Nature for All Leadership Academy vision, the full participation of each individual is essential. Participants are required to attend at least 80 percent of all scheduled classes in order to graduate. It is expected that each participant will continue his/her/their involvement with the Nature for All coalition after graduation.
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