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* 1. Please enter your Full Name

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* 2. Date of Birth 

Date

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* 3. Preferred Gender Pronouns

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* 4. Enter your contact information

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* 5. How did you hear about Soul Trak?

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* 6. Please describe your interest/experience in community engagement and/or environmental activism:

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* 7. The Environmental Leadership Cohort will meet every second Wednesday of the month from 6-7pm and one weekend per month for initiatives. Cohort members are expected to attend a minimum of 80% of cohort meetings. Can you make this time commitment to the cohort?

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* 8. Relevant skills or certifications

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* 9. What do you hope to learn through the Environmental Leadership Cohort?

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* 10. Soul Trak's ELC will organize two larger community initiatives to further engage marginalized communities in nature. As a member of the ELC what initiative would you propose to positively impact the community?

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* 11. What else should we know about you?

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* 12. Submit Your Resume

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