Complete this application by July 9 to be considered for participation in the July 19, 2021 ECA Secure Your Space Online Workshop.
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Contact Information
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Name:*
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Primary Organization:
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Title/Role:
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# of employees, members, volunteers, etc.:
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Mailing Address:
(2 lines, if needed)
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City:
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State: ZIP:* |
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Phone number:
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E-mail address:*
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Web Address:
(if applicable)
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Participation
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Reason for participating (multi-choice):*
Secure my own space
Secure my primary organization's items
Secure another organization's items (please list in next box)
ECA Mini-Award Recipient
Help my community
Start a business for securing items
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In addition to the organization you may have listed below, what other organizations/communities are you involved with where you might share what you learn?
0/500 characters max
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Live captioning will be provided for this workshop.
Do you require any other accommodations in order to fully participate?
0/500 characters max
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Experience
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What is your experience using power tools such as drills? Please describe.*
Beginner
Intermediate
Experienced
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0/500 characters max
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Do you have, or have access to, the necessary power tools for doing this work?*
I have my own power tools
I have access to power tools
I have no access to power tools
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What is your experience securing furniture, appliances, TVs, etc. (How many items have you secured?) Please describe.*
0-20
20-50
50-100
100+
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0/1000 characters max
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