ESA Join

1
Please fill out this short questionnaire so we know a little more about you and your needs. Track 1 requires that you are either a Director or Administrator of an Organization, Program, or School that teaches Earth Skills to youth. The answers you give will only be used for the purposes of providing quality programs at the Coyote Conference in 2019.
2
* This field is required.Enter a number below to receive a confirmation code via sms/text to proceed with this survey. You will receive a text code to input to continue.
3
Name
First Name
Last Name
4
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Email* This field is required.
example@example.com
Confirm Email
6
Organization website* This field is required.If you don't have one, please enter "none"
7
Tell us a little about your Organization and what types of programs it offers.* This field is required.
8
What is your title or position?
9
How long have you been at the current Organization/ Program? Have you been involved with other Organizations?
10
How long have you been practicing Earth Skills?
11
How long have you been teaching / mentoring youth? In Earth Skills or other.
12
What is the mission of your Organization?
13
This year’s conference will have several ‘focus’ areas that will offer comprehensive skills, knowledge, strategies and approaches to help you get useful tools that can be implemented in your own programs right away. With this in mind, which of the following topics most interest you? Please choose your top three (3) areas that you feel you need most in your program:
Marketing/Messaging/Finding Students, Campers or Clients
Financial Planning/Budget Strategies/Fundraising/Accounting
Staff Developement/ Training/ Management
Networking and Collaboration
Non-Profit Pros & Cons/Legal Structures for Your School/Program
Legal Aspects of Wilderness or Nature Mentoring Schools
Navigating Social Media/Community Development
Add Comment or Topic not mentioned Above:
14
If you have other topics you would like to see please enter here.
15
Is there a topic you would like to present on?
16
Please answer this question as honestly and directly as possible: My biggest need as a Director/Admin right now, that would make mylife a lot easier is ________________? Write your answer below.
17
For Evening Programs, which of the following do you prefer?
Storytelling
Elders Council
Networking and Informal Sharing Around the Campfire
No preference. Whatever happens will be fine.
Other, Add below
18
Add Comment
19
Are you intersted in presenting at Track 2 for Instructors and Program Leaders? If so what , what would you like to present? Please choose from the list below one or two subjects or add your own.
Mentoring/Teaching Skills
Program Development/Curriculum
Wilderness Survival/Earth Skills Activities for Teens/Kids
Wild Edibles/Tree Identification/Plant Identification
Strategies for Difficult/Challenging Students
Rites of Passage/Storytelling
Safety or Medical Training
No, I'm not interested in presenting and/ or attending track 2.
Add your own option below
20
Add your own topic here.
21
Are there any people/organizations you think we should invite to the conference? If so, please tell us who below.
22
Would your Organization be interested in Hosting a "Coyote" Conference in your area?
23
Other comments , concerns , additions?
Should be Empty: