DHS Climate Change Professionals Enrollment Questionnaire (CC-P® Prep Series)

Participant Background

Thank you for providing us with information about your background that will help inform the program delivery at your training in November 2022. The following form will take you approximately 15 minutes to fill out.

NOTE: Your answers will be strictly confidential as ACCO will only use this to shape the training and will not provide any individual's specific answers to DHS.

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* 1. Please identify yourself:

First Name

Last Name

Employer/Organization Name

Professional Title

Work E-mail

City

State

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* 2. How many years have you been working for DHS?

(please move the slider bar to select your answer)

20+

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 3. How many years have you been in your current role?

20+

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 4. How many years of total experience do you have related to this role (in this organization or otherwise)?

20+

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 5. How would you describe your familiarity or past experience with climate change?

0 (no familiarity)

10 (Very familiar across a broad range of areas)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 6. Please indicate your highest level of education:

High school degree (or GED)

Bachelor's degree

Master's degree (or equivalent)

Post-doctoral degree (or equivalent)

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* 1. Please identify yourself:

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* 2. How many years have you been working for DHS?(please move the slider bar to select your answer)

Question Title

* 3. How many years have you been in your current role?

Question Title

* 4. How many years of total experience do you have related to this role (in this organization or otherwise)?

Question Title

* 5. How would you describe your familiarity or past experience with climate change?

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* 6. Please indicate your highest level of education:

* 2. How many years have you been working for DHS?

(please move the slider bar to select your answer)