Intake form

Name *

Email address *

What is your age group?

What areas of environmental concern are you interested in?

Please select at least one option.

Climate Change

Waste Management

Biodiversity

Sustainable Energy

Water Conservation

Pollution Control

How did you hear about youth eco revolution?

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Social Media

Friend/Family

Online Search

Event

What is your current occupation?

Please describe any previous experience you have in environmental initiatives.

What kind of involvement are you interested in?

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Volunteering

Donating

Participating in Events

Collaborating on Projects

Advocacy

Which tools or resources would you like to access through our platform?

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Data Analysis Tools

Educational Resources

Community Forums

Project Management Tools

Research Publications

Which service or services are you interested in?

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Eco data analysis

Sustainability workshops

Environmental advocacy

Service title 7

Service title 8

Additional questions or comments

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Youth Eco Revolution