Training Application

1.	First Name:
2.	Middle Init.:
3.	Last Name:
4.	Address:
5.	City:
6.	State/Province:
7.	Zip/Postal:
8.	Country:
9.	Preferred telephone number:
10.	Email address:
11.	(If applicable) Name of Institution:
12.	Are you currently a student? (circle one)	YES NO
13.	Will you commit to making a minimum of ten presentations in the year following your training? (circle one)	YES NO
14.	Preferred Date to Attend Nashville Training Session. (circle one) Please note your first and second choice:	September 24-26, 2006 December 1-3, 2006 January 2-4, 2007 January 4-6, 2007 January 8-10, 2007
15.	Have you given public presentations?	YES NO
16.	Rate your experience as a presenter. (circle one)	Little Experience Moderate Experience Very Experienced 1 2 3 4 5
17.	Rate your speaking ability. (circle one)	Little Experience Moderate Experience Very Experienced 1 2 3 4 5
18.	How comfortable are you presenting before groups of 50-100 people, or more. (check one)	Little Comfort Moderate Comfort Very Comfortable 1 2 3 4 5
19.	Do you own or have access to a laptop computer? (circle one)	YES NO
20.	Do you own or have a projector (for laptops)? (circle one)	YES NO
21.	What presentation tools are you familiar with?.	circle one: Keynote (Mac-based) Power point (MS-based) Other Please Describe Below:
22.	Rate your science training or background in environmental/climate change issues. (circle one)	Little Experience Moderate Experience Very Experienced 1 2 3 4 5
23.	In approx. 100 words please describe your background and why you want to participate in this Training Project. (Note: This information may be used to introduce you to fellow trainees).
24.	If selected by The Climate Project to be a Trainee, please list up to 5 venues in which you anticipate giving this presentation and the approximate size of audiences.
25.	Do you anticipate having any local help (e.g. staff, volunteers, family) in arranging and coordinating these events?
26.	What makes you a strong candidate to be chosen as a part of this training program?