CleanBC Indigenous Youth Engagement Registration Form

Please fill in this form to register for the event. Registering will ensure you receive the zoom link, alternative call-in information, pre-event materials and any follow up information.

The information you provide us in this registration will only be used for purposes related to Provincial engagement on climate action by Natural Resource Ministries. This information is being collected by the Climate Action Secretariat under 26(c) of the Freedom of Information and Protection of Privacy Act . If you have any questions or concerns please do not hesitate to contact Anna Bunce, Senior Policy Analyst, at anna.bunce@gov.bc.ca or 778-698-9408.

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* 1. By indicating ‘yes’ below, I consent to the disclosure of my contact information to other Natural Resource Ministries for the purpose of contacting me for further climate related engagements. I also consent to the temporary storage of the feedback I give in this session on SurveyMonkey servers. I understand that these servers may be accessed from outside of Canada. This consent is valid from this date forward, and may be revoked by contacting Anna Bunce, Senior Policy Analyst at anna.bunce@gov.bc.ca. If you would like to register but do not consent to sharing your information please contact Kristy Joe at kristy@alderhill.ca or 250-280-8486 to register for the event.

Yes

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* 2. First Name

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* 3. Last Name

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* 4. Title/Occupation

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* 5. First Nation, Indigenous Nation or Indigenous Organization you are associated with

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* 6. Contact Information (You will receive a zoom link emailed to the email address you provide here)

Email Address

Phone Number

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* 7. We are offering one payment of $50.00 to youth that attend the CleanBC Youth Engagement Sessions as an acknowledgement of your time and contributions to the development of the Province's climate policies and programs. (Note that while you are welcome to attend both sessions, we can only offer $50.00 to each participant)

A cheque or electronic funds transfer will be sent after the engagement sessions.

Please check this box if the payment is to be E-transferred to the email address above OR provide your legal name and address here so a cheque can be mailed to you:

Additional Information

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* 8. Have you heard of, or do you have experience with CleanBC?

Yes

Other (please specify)

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* 9. Pick your top five areas of interest:

Introduction to climate change and BC

What is the province's role in climate action? Introduction to BC's climate plan: CleanBC

Clean jobs, skills for the future

Renewable energy and fuels

Clean technology

Adaptation to climate change, climate resilience, and community preparedness

Extreme weather (wildfire, drought, flood)

Food security

Community-led stewardship, integration of traditional ecological knowledge in monitoring and land management

Cleaner transportation: zero emission vehicles, public transportation, cycling, walking, etc.

Reducing greenhouse gas emissions

Plastic pollution and waste

Better buildings and energy efficiency

Indigenous climate leadership and partnerships

The role of Indigenous youth voices and world views on climate action

Other (please specify)

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* 10. Is there anything else you would like to share with us prior to these sessions? (Topics of interest, important context, etc.)

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* 11. Please register for one of the following sessions that best fit your schedule:

Session 1
Saturday, February 27th, 2021
1:00 p.m. to 4:00 p.m.
Due to low attendance - Session 1 will be postponed to a later date

Session 2
Sunday, February 28th, 2021
1:00 p.m. to 4:00 p.m.

Thank you for registering. We're looking forward to discussing climate action with you.