Northeast Oklahoma Tribal Resilience Workshop

Online Training Application Form
Please complete the form clearly and carefully. Applications must be approved by ITEP in order to be accepted to attend the course.

* Required fields.

Please select the course.

Deadline: January 22, 2020
Please insert your State using two (2) letter abbreviation.
Required for last minute contact – if no cell phone, please list home phone.
Emergency contact First and Last Name:

Emergency contact Phone Number:
ITEP takes photos of course-related activities for use in presentations, web pages, brochures, and other materials in order to promote ITEP programs. Please check the appropriate box below:

Would you like to be added to ITEP's email list for the monthly Tribal Climate Change Newsletter?

Has your tribe made any formal climate change declarations or resolutions?

Is your tribe planning to conduct climate change impact and vulnerability assessments?

Is your tribe planning to develop or purse a climate change action/adaptation plan or a hazard mitigation plan?

What specific topics or questions would you like instructors to address in this training?

If your tribe has climate change declarations, vulnerability assessments, or other climate change-related reports online and if it is permissible, could you provide the URLs so that we could add these to our database and share your work with other tribes?
Job description/duties

Are you over the age of 18?

Do you have a High School Diploma or GED?

Do you have a college degree?

Field of study or technical training (please limit to two or three words):

Please detail your experience and/or training in environmental monitoring/management:

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Course Travel & Cancellation Policy

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Attendee Expectation Policy

Course Costs and Reimbursement:

Electronic Signature:

Supervisor First & Last Name:
Supervisor Title:
Supervisor Email:
Supervisor Phone:

Supervisor Fax (optional):

For information, please contact:
Nikki Cooley, Co-Manager

If you experience technical difficulites with this form, please contact ITEP Website Administrator at 928/523-1326 or email at