Live Action for Climate Action at Components
Name
First Name
Last Name
Phone Number
Email
example@example.com
Your Component (ex: AIA Dallas)
Position (ex: Executive Director)
Which education courses are you interested in hosting?
AIA+2030 Online Series
Materials Matter
Resilience + Adaptation Online Series
Designing for Health series
How would you rate your membership's familiarity with sustainability?
low
1
2
3
4
high
5
1 is low, 5 is high
Why do you think these program(s) would be valuable to your members?
Please provide an approximate time frame for when you would like to host the event. (ex: December 2021)
Are you interested in receiving funding that would go toward honorariums for speakers and/or technology costs?
Speaker fees
Technology/software fees
Submit
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