Emerging Leaders Program Fall 2017
The following form will serve as an application for the 2017 SHIFT Emerging Leaders Program in Jackson, WY, October 29-November 1, 2017.
Name
Your answer
Email, Phone
Your answer
Age
Your answer
Location
Your answer
Gender Preference
Your answer
Preferred Pronoun
Your answer
Current Role, Organization/Institution
Your answer
Describe the work you are doing in your community to promote conservation and/or recreational use of public lands/outdoor spaces.
Your answer
Why have you chosen to do this work?
Your answer
What are your greatest successes in engaging your peers and/or community in this work?
Your answer
What challenge(s) do you face in engaging your peers and community in this work?
Your answer
What skills would help you be more effective in your role?
Your answer
What perspectives can you add to the national conversation about the confluence of outdoor recreation, conservation, and cultural relevancy?
Your answer
Do you require financial assistance?
Your answer
How much assistance do you need?
Your answer
Will your affiliated organization be able to underwrite your participation?
Your answer
Any additional info of note
Your answer
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