World Wide Views on Biodiversity

Thank you for applying to be part of World Wide Views on Biodiversity, a globlal citizen consultation on biodiversity. The Colorado School of Mines in Golden, Colorado, is the local host for this event. To learn more about the global program, see www.biodiversity.wwviews.org.

We will be choosing 100 participants from thousands of applicants based on a number of factors. In an effort to ensure maximum diversity and representation among our participant group, we will consider:

  • Age
  • Gender
  • Race/Ethnicity
  • Income
  • Education Level
  • Occupation
  • Geographical Zone

Criteria and categories are adapted from statistics from the 2010 census data (http://Factfinder.census.gov/).

Since we will be selecting participants on the basis of these criteria, answering questions about them is a necessary requirement for applying to be part of the WWViews program. Applicants must be at least 16 years of age.

Please complete the following survey with the information requested, and your application will be considered on the basis of the criteria described above. Please remember that your application does not guarantee participation; we will notify you by late August as to whether you have been confirmed to participate in WWViews.

For questions or a hardcopy of the application, please email worldwideviewsbiodiversity@gmail.com or call 303.384.2335.

 

 


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Personal Information:


* First Name:
* Last Name:
* Email address:
(We will only use your email address to correspond with you about World Wide Views Biodiversity. We will never give your address to another party.)
* Street Address:
* City/State:
* Zip Code:
* County:
* Gender:
Male
Female
* Age:
(You must be at least 16 to apply.)
16 or 17
18-24
25-44
45-64
65 and above
* Race/ethnic affiliation:
Black
Asian
White
Latino/Hispanic
Mixed Race/Other

Occupational Information:


* Highest level of education:
Some high school
High school diploma
Some college
Associates or technical degree
Bachelor's degree
Graduate degree
* Which best describes your current occupational situation?
Employed
Unemployed
Retired
Unpaid worker at home
Full-time student
Out of labor force for other reasons
If employed, what category best describes your occupation?
Management or professional
Service
Sales or office
Farming, forestry, ranching
Construction, extraction
Production, tranportation, and material moving
* Yearly household income, gross:
$0 - 14,999
$15,000 - 34,999
$35,000 - 74,999
$75,000 - 149,999
$150,000 and above

Other Information:


* Are you professionally involved with issues surrounding biodiversity?
Yes
No
If yes, please describe:
* Are you an active member of an environmental organization?
Yes
No
* Which best describes your geographical zone?
Urban
Rural (towns and suburbs)
Farmland
Other :  
* How did you hear about this program?
(Please check all that apply)
From the Colorado School of Mines website
From a friend or family member
From print media
From electronic media
From Craigslist
From a club or organization
Other :  
* Do you have any dietary restrictions?
(Allergies, vegetarian, etc.)
* What is the best way to contact you?



* required
 

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Last Updated: 04/24/2013 15:29:07