Climate Educator Sticker Commitment Form

We so appreciate your commitment to climate learning for our young Washingtonians! Our shipping department needs your phone number and address to send you your sticker. (Home or school address is fine.) We will not use this information for any other purpose. We are collecting your email to send you a follow up to see what you implemented. We will also ask if you will let us send you periodic updates about climate learning in Washington state. If you have any questions, don't hesitate to reach out! johanna.brown@k12.wa.us

1. What is your first name? *This question is required.

2. What is your last name? *This question is required.

3. What district do you work in? *This question is required.

4. What grades do you teach or work with? *This question is required.

5. Please share an email. School or personal is fine. *This question is required. This question requires a valid email address.

6. What is your street address? (This is for where you want your sticker sent, school or home is fine.) *This question is required.

7. What city? *This question is required.

8. What two letter state code? *This question is required.

9. What zipcode? *This question is required.

10. Phone Number for Shipping *This question is required.

11. What climate professional learning do you plan to do? Refer to the newsletter or share what resource you plan to learn from. *This question is required.

12. Where and how do you think you will implement climate learning into you class? We have tons of resources on the ClimeTime OER hub and you can find resources here from NOAA! *This question is required.

13. May we use your email to send you infrequent updates about climate learning in Washington state? *This question is required.