Local Climate Action Program Interest Form

Basic Contact Information

What is your name?(Required)

What is your email?(Required)

What is your phone number?

Are you a student or a municipal/county government?(Required)

Student

Municipal/County Government

Student

Are you an undergraduate or graduate student?

Undergraduate Student

Graduate Student

What is your major?

What is your year of study?

Please indicate your primary Penn State campus below:

Please upload a short letter expressing your interest in enrolling in the Local Climate Action Program.

Your letter should explain why you are interested in action on climate change, your academic, service, or professional work to date regarding action on climate change, and your personal, civic, and/or professional aspirations.

Max. file size: 40 MB.

Please upload a current resume including a minimum of two professional references.

You may upload up to three files (or combine them into one Word Doc)

Drop files here or

Max. file size: 40 MB, Max. files: 3.

Municipal/County Government

What municipality or county do you represent?

What is your position in the government

(e.g. Planner, Commissioner, Environmental Advisory Committee, etc.)?

Tell us about your municipal climate ambition and how LCAP can assist:

Conclusion

Do you have any immediate questions?

@sustainpsu

Basic Contact Information

Student

Municipal/County Government

Conclusion