EJP Student and Faculty Register

Question Title

* 1. Address

Name

Institution

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Gender Pronouns

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* 3. Dietary Restrictions

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* 4. Access Accommodations needed? (please specify)

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* 5. Please Rank from 1 - 5 ( 1= first priority, 5 = last priority) Your Interest in each subject.

	1	2	3	4	5
Climate Justice	Climate Justice 1	Climate Justice 2	Climate Justice 3	Climate Justice 4	Climate Justice 5
Water Justice	Water Justice 1	Water Justice 2	Water Justice 3	Water Justice 4	Water Justice 5
Right to Clean air and Healthy Workplace	Right to Clean air and Healthy Workplace 1	Right to Clean air and Healthy Workplace 2	Right to Clean air and Healthy Workplace 3	Right to Clean air and Healthy Workplace 4	Right to Clean air and Healthy Workplace 5
Just Transition and Investments needed for Resilience	Just Transition and Investments needed for Resilience 1	Just Transition and Investments needed for Resilience 2	Just Transition and Investments needed for Resilience 3	Just Transition and Investments needed for Resilience 4	Just Transition and Investments needed for Resilience 5
Traditional Ecological Knowledge, Science and Data when Crafting policy	Traditional Ecological Knowledge, Science and Data when Crafting policy 1	Traditional Ecological Knowledge, Science and Data when Crafting policy 2	Traditional Ecological Knowledge, Science and Data when Crafting policy 3	Traditional Ecological Knowledge, Science and Data when Crafting policy 4	Traditional Ecological Knowledge, Science and Data when Crafting policy 5