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ecoAmbassadors

Register

Eco-Ambassadors

Please provide all the information requested on the form below.

Lead Student...

First name       
Last name    
Telephone number   xxx-xxx-xxxx
Mailing address at school   address line 1
  address line 2
    city
    ZIP  
     
Major or degree program   e.g., Biology
Year of study    
     
Your school email   Required - to register, you must enter a valid school email address.
Personal email   Optional - enter a personal email address here if you prefer to email with us through a non-school email account.

 

 

Activity...

Proposed activity    
Estimated completion date    

 

 

School...

School name   Enter your school name and then click here to find your school code
School code    
City    
State    

 

 

Sponsor...

First name    
Last name    
Email address    
Phone    
Department    

 

 

Done?

Any comments you wish to add:

  

optional

Type the keyword "ambassador" below, to help stop spam.
*required

By clicking "Submit", I certify that I understand that I am not an employee of EPA for any purpose, including compensation for injuries to myself or liability to others for injuries I may cause carrying out an eco Ambassador project. Additionally, I agree not to submit a claim for compensation for services rendered to EPA for activities I carry out as an eco Ambassador.

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