Representative form — The Climate Consensus

Interested in serving as a representative for The climate consensus?

As a representative, your duties will include participating in regular (virtual) meetings with representatives from other universities, planning and facilitating department or campus-level meetings, and coordinating outreach events in your region. There are also opportunities to volunteer as a member of a working group and to provide/receive support for others who are engaged in this work.

Notice: We are in the process of incorporating as a 501(c)(3) nonprofit organization. As we continue to build a strong foundation for our network, we have temporarily paused recruitment of representatives from new universities. However, if you are interested in representing your university in the future, please fill out this form and we will be in touch when recruitment resumes. Thank you for your interest!

Name

First Name

Last Name

Email

College or university name

Department name

Your role within department

Graduate student, faculty member, postdoc, etc.

Faculty mentor information

If you are a graduate student, please identify the name and email address of a faculty member who has agreed to serve as your mentor.

Current outreach

Describe your university's and/or your personal climate outreach efforts to date. If you have not yet been involved in such work, that's okay! Simply state this below.

Reason for joining

Explain why you are interested in joining The Climate Consensus and serving as a representative for your institution.

Any other questions or comments?

Please note the following:

Only complete this form for yourself, as faculty member or graduate student who is interested in serving as a representative. If you know of someone else who might be interested in serving in this role, please ask them to complete the form.
We are not accepting undergraduate student representative requests at this time. We hope that you will play an active role in this work, but want to ensure that you are fully supported by faculty at your university as demonstrated by their willingness to serve as a representative.
For graduate student representatives, please identify a faculty member within your department who is willing to serve as a mentor. This person does not need to be actively involved with the group, but will be able to provide department-level support for this work while also serving as a permanent contact for the institution.