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LCMP St. Clair Interest Survey
St. Clair Cohort
*
1.
First name:
(Required.)
*
2.
Last name:
(Required.)
*
3.
Email:
(Required.)
*
4.
Where will you be monitoring?
(Required.)
Home
Workplace
Both
*
5.
Monitoring Address(es) (include ZIP code):
(Required.)
*
6.
Monitoring neighborhood(s)?
(Required.)
*
7.
One of the air quality monitors requires a protected, outdoor location (covered porch, picnic table with a weather-proof covering, etc.) with access to a power source. Will you be able to make this accommodation?
(Required.)
Yes
No
Please specify where you plan to place the monitor, and whether you have an outdoor outlet, or need to run an extension cord from inside
8.
The St. Clair cohort starts Tuesday, Jan. 21 followed by the Check-in meeting (2nd meeting) Wednesday, Jan. 29 and the (final) Wrap-up meeting on Thursday, Feb. 13.
The 2-hour meetings will convene at the Upper St. Clair Library and meet from 7 - 9 PM. Attendance at the Kick-off meeting (1/21/20) is a requirement.
Are you able to attend the Kick-off meeting?
Yes
Maybe
No
9.
Review LCMP
Expectations
. Are you able to meet these expectations for the St. Clair Cohort?
Yes
No
Maybe
10.
Keep me informed of opportunities to participate in the future.
Yes
No
*
11.
How did you hear about the ROCIS Low Cost Monitoring Project?
(Required.)
*
12.
What do you hope to gain from participating?
(Required.)
13.
Any comments or questions?
