Request to Schedule a Stormwater Education Presentation

Please fill out this form with as much detail as possible. Approx. 5min to complete.

Question Title

* 1. Contact Information

Name

Job Title

Community/Organization

Phone

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* 2. Relationship with CRWC

Government/Stormwater Member

Individual/Family Membership

Volunteer

Teacher

Community Partner

Board Member

Other (please specify).

Click here if you would like to become a member of the Clinton River Watershed Council!

Question Title

* 3. What topic would you like CRWC to present?

Protecting Water Quality in Cold Weather

Your Home. Your Community. Your Watershed.

Stormwater 101

Rain Gardens and Rain Barrels

RiverSafe LakeSafe

Illicit Discharge Elimination and Prevention

Septic Care and Maintenance

Green Stormwater Infrastructure

Microplastics, Waterways, and You

Other (please specify)

Question Title

* 4. In times of COVID-19 what is your preferred method of engagement?

Virtual (Community/organization will host via their virtual platform)

Virtual (CRWC will host via Zoom)

Outdoors with a mask socially distanced

Inside with a mask and small group

Other (please specify)

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* 5. Preferred date and time (minimum 2 weeks advance).

Date / Time

Date

Time

AM/PM

Date / Time

Date

Time

AM/PM

Date / Time

Date

Time

AM/PM

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* 6. Is this a public or private event?

Public

Private

Other (please specify)

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* 7. How will people register to attend the presentation?

Please have CRWC handle registration.

My community/organization will handle registration.

I'm not sure.

If someone other than CRWC is handling registration, please specify registration contact/method.

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* 8. How would you like to promote attendance?

I would like CRWC to create promotional material and distribute.

My community/organization will create promotional material and distribute.

Other (please specify)

Question Title

* 9. Thank you for scheduling a stormwater education presentation! Someone from CRWC will contact you shortly to confirm your details. Please share any additional information below.

Thank you for your time and support!