Employee Interest Form • ClimateVoice

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Name

First Last

Email(Required)

Where do you work?

What size company do you work for?

1-100 employees

100-1,000 employees

1,000-10,000 employees

10,000-100,000 employees

100,000+ employees

If you are a current employee, are you working to advance climate solutions in your company, either through a formal job description or informally as part of an Employee Resource Group or Green Team?

Yes

Not yet, but I’d like to do more

What types of initiatives are you currently working on?

If you are working to elevate climate policy progress – or want to – what challenges are you currently facing, or what challenges do you anticipate?

What do you (or would you) want to see more of at your company?

Are there resources that would be helpful to you in achieving your goals and taking action? Let us know if you are looking for a particular resource and we’ll do what we can to help.

Would you like us to contact you with follow up resources or to set up a 30 minute consultation?

Yes, please send me follow up resources

Yes, I’d like a 30 minute consultation

Not now

Maybe, can I learn more?

Please let us know best way to contact you:

Anything else you want us to know?

Consent(Required)

Yes, I agree to the Privacy Policy and Terms of Use.

Policy Conflict(Required)

I certify that this submission does not conflict with, or result in any breach or violation of, any provision of any agreement, rule, handbook, or policy applicable to me, including but not limited to the policies of any employer of mine related to political speech, online speech or conduct, solicitation, or speaking on that employer’s behalf.

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