DC EJ Coalition – Interest Form Question Title * 1. What is your full name? Question Title * 2. What is your email address? Question Title * 3. What is your telephone number? Question Title * 4. What is your address? Question Title * 5. What is the name of your organization? Question Title * 6. What is the mission/purpose of your organization? (Please describe the environmental justice issues your organization works on) Question Title * 7. What is the website of your organization? Question Title * 8. Can you make decisions on behalf of this organization? Yes No Not sure Question Title * 9. Does your organization work directly with or is accountable to DC communities impacted by environmental justice issues? Yes No Not sure Done
