Sierra Club: Survey - Shift to Sierra Student Coalition

Shift to Sierra Student Coalition

1.

The Sierra Student Coalition is a broad network of youth organizers and leaders coast-to-coast fighting for environmental and social justice in their communities. We support leaders with one-on-one mentorship, networking groups at the state and regional level, leadership trainings, national events and gatherings and sharing our campaign stories, materials and resources. To join the network and get active where you live fill out the form below and we'll follow up with everything you need to get started.


*	First Name: Required
*	Last Name: Required
*	Email: Required
	City:
	State / Province:
	ZIP / Postal Code:
	Phone Number:
	Yes, I would like to receive periodic updates and communications from Sierra Club.

2.

Question - Not Required - Check Box: High School
College
Non-Student Youth

3.

Question - Not Required - University or College - Please spell out full name, i.e. University of Illinois-Urbana-Champagne

4.

Question - Not Required - Graduation Year - i.e. 2013:

5.

Question - Not Required - What issues interest you most? (check all that apply)

	Coal
	Natural Gas
	Oil
	Clean Energy
	Wildlife
	Wild Lands Protection
	Environmental Justice
	Other

6.

Question - Not Required - If you selected other - what is the other issue that interests you?

7.

Question - Not Required - I am: Already part of an existing group at my school or community
Interested in starting a new group

8.

Question - Not Required - Are you interested in attending one of our summer training programs? If yes, we'll send you more information about how to register.