Kansas Environmental Leadership - 2021 KLC Transformation Grant

* Email

Email associated with the work or volunteer organization you'll represent during this training

* First Name

* Last Name

* Employment or Volunteer Org Name

The organization through which you're attending this training.

* Phone Number

Please list the best number to reach you.

* Type

* Address 1

Address 2

* City

* State

* Zip Code

* Which of the following subjects are the primary focus of your organization's work?

Water

Energy

Air

Land

Transportation

Health

Other

Please select all that apply

* Which of KLC's trainings, if any, have you attended within the last two years?

Your Leadership Edge/You.Lead.Now

Lead for Change

Equip to Lead

I have never attended a KLC training.

I have not participated in a KLC training in the last two years.

Select all that apply

* Which of KLC's trainings do you hope to attend?

Your Leadership Edge

Lead for Change

Equip to Lead (requires prior completion of either of the above)

Select all that apply

* Are you or the organization you represent able to cover all materials and travel costs associated with attending this training?

* Briefly, what do you see as the biggest environmental challenge facing your work or the work of your organization?

* What do you hope to gain from this training?

* On a scale of 1 to 5, how would you rate your leadership skills?

(1 = Not confident, 5 = very confident)

* On a scale of 1 to 5, how would you rate your civic engagement?

(1 = I'm not registered to vote, 5 = I vote in every election (local up to national) and actively participate in other ways. )

Is there anything else you would like for us to know when reviewing your application?