EJ TA Intake Form Question Title * 1. Name Question Title * 2. Email Question Title * 3. Phone Number Question Title * 4. Do you represent a Tribe, Tribal organization, or Inter Tribal consortium? Please identify. Tribe Tribal Organization Inter Tribal Consortium Other Question Title * 5. In what state is your community located? If your Tribal boundaries are in more than one state, select the state your headquarters are in. Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Question Title * 6. Please describe the environmental, climate justice or clean energy concern you would support on. Question Title * 7. What type of technical assistance are you seeking? Search for appropriate/relevant federal funding Federal funding application assistance GIS Mapping Services Resources and Information Other Next