Training Application

TRAINEE 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?	Yes No
13.	Will you commit to making a minimum of ten presentations in the year following your training?	Yes No
14.	Preferred Date to Attend Nashville Training Session. Please note your first and second choice:	(First Choice) (Second Choice)
15.	Have you given public presentations?	Yes No If yes, briefly describe the types of groups and presentations you have given.
16.	Rate your experience as a presenter. (check one)	1 2 3 4 5 Little Experience Moderate Experience Very Experienced
17.	Rate your speaking ability. (check one)	1 2 3 4 5 Little Ability Moderate Ability Very Able
18.	How comfortable are you presenting before groups of 50-100 people, or more. (check one)	1 2 3 4 5 Little Comfort Moderate Comfort Very Comfortable
19.	Do you own or have access to a laptop computer?	Yes No (Is it an Apple/Mac or a PC?) Mac PC None
20.	Do you own or have a projector (for laptops)?	Yes No
21.	What presentation tools are you familiar with?. (Check all that apply)	Keynote (Mac-based) Powerpoint (MS-based) (Other Please Describe)
22.	Rate your science training or background in environmental/climate change issues. (check one)	1 2 3 4 5 Little Experience Moderate Experience Very Experienced
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?	Yes No
26.	What makes you a strong candidate to be chosen as a part of this training program?
Questions? Call (615) 463-8181 Printable application