You can always press Enter⏎ to continue
Climate Campaigners Amplifier Cities
Climate Campaigners Amplifier Cities
Expression of Interest
20Questions
Climate Campaigners Amplifier Cities
  • 1

    Thank you for your interest in joining the #ClimateCampaigners movement as an Amplifier City. 

    We are pleased to invite you to complete this Expression of Interest. Through this form, we're looking forward to learning more about your city, including your motivations and priorities related to climate change mitigation & behavior change and your related experiences, projects, and initiatives; and about what you would like to get out of Climate Campaigners. 

    This form should take a maximum of 20 minutes to complete. 

    For more information about the Climate Campaigners Amplifier Cities initiative, please read our Primer. 

    To learn more about our project, visit: https://www.climate-campaigners.com/

    Press
    Enter
  • 2
    Please enter this information in the local language, e.g., "Freiburg im Breisgau, Deutschland"
    Press
    Enter
  • 3
    Please select all options that apply. The full Climate Campaigners app is already offered in the languages listed below, as the local languages of the Campaigners Lighthouse Cities.
    Press
    Enter
  • 4
    We may include this in future communications materials spotlighting Amplifier Cities. You can also send us this via email at any time later.
    0/600
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 5
    We will display this on the Climate Campaigners website.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 6
    Press
    Enter
  • 7
    Please enter the full (preferred) name of the main person who would represent your Amplifier City
    Press
    Enter
  • 8
    Please provide the title/role and department/institution of the Amplifier City representative
    Press
    Enter
  • 9
    Email Verified

    The verification code has been sent to some@email.com
    Please check your mailbox and paste the code below to complete verification

    Didn't receive verification code? or
    Receiving the email may take a few minutes, thank you for your patience!
    Press
    Enter
  • 10
    Please note that providing this permission is required for consideration as an Amplifier City. We will never spam you.
    Press
    Enter
  • 11
    Please select all options that apply.
    Press
    Enter
  • 12
    0/0
    Press
    Enter
  • 13
    We do not consider your selection exhaustive, exclusive, or binding. Rather, we would like to have an overview of what policy areas are of greatest immediate interest to cities in the context of Climate Campaigners.
    Press
    Enter
  • 14
    0/0
    Press
    Enter
  • 15
    This is not a requirement to become a Climate Campaigners Amplifier City. This information will just help us to understand your profile more holistically and inform our programme design.
    Press
    Enter
  • 16
    Please include links to relevant websites or resources. Projects or initiatives that could enhance Lifestyle Challenges are of particular interest.
    Press
    Enter
  • 17
    Please select all of the options that you know apply to your city. This question is optional, but will help the Campaigners team to better understand the emissions profiles of Amplifier Cities.
    Press
    Enter
  • 18
    Press
    Enter
  • 19
    Press
    Enter
  • 20
    Your input will help the Climate Campaigners team to prioritize formats in designing activities for Amplifier Cities. Thus, please note that selecting an option does not necessarily mean this format will be offered.
    Press
    Enter
  • 21
    Press
    Enter
  • Should be Empty:
JotForm Logo
Now create your own Jotform - It's free!Create your own Jotform
Question Label
1 of 21See AllGo Back
close