Climate Health Organizing Fellows Application If you are applying to this program with four people, please fill this form out with the information of the fourth person on your team. Information for the Fourth Participant Information for First Group Member All below information should be for your first group member Name * First Name Last Name Email * Institutional/Organization Affiliation Professional title/role Race Asian Black / African American Native Hawaiian or Other Pacific Islander White American Indian / Alaskan Native I prefer not to answer I do not identify as any of the above Hispanic or Latino Yes No Prefer not to Answer Other Pronouns She / Her / Hers He / Him / His They / Them I use pronouns that are not listed If you use other pronouns, you can list them here Please list the name of one other person on this team to ensure we add them to the correct team * First Name Last Name Thank you for your application submission to Climate Health Organizing Fellows. We will review applications after the deadline of October 22nd and get back to you then. Should you have any questions in the interim, please contact Chrissie Connors at cconnors@challiance.org
