If you are a UN CC:Learn alumni, fill in the form to submit your climate story. Select your preferred language on the dropdown menu located at the top right of the form.
Click on 'OK' to start filling in and on 'Done' to submit your responses.

Completing this form you agree to UNITAR’s Data Protection and Privacy Policy.

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* 1. What's your name?

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* 2. Where are you from? The list of countries is in English language.

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* 3. What's your gender?

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* 4. Your professional affiliation:

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* 5. What's your age group?

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* 6. What email did you use to register on the UN CC:Learn e-learning platform (UN CC:e-Learn)? (Important! Please include the exact e-mail you used to register on the platform).

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* 7. What courses on UN CC:e-Learn have you fully completed?

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* 8. Please introduce yourself by briefly describing your background and why you enrolled in our course(s) - (Up to 200 words)

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* 9. Tell us your personal climate story and how our courses have helped you take climate action.
Be as specific as possible, demonstrating the clear interlinkage of what you have learned through our course and your climate action. (Up to 500 words)

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* 10. Please, select which Sustainable Development Goals (SDGs) you believe your climate action has directly or indirectly contributed to.

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* 11. Send us your best profile picture and additional images to illustrate your story. (Optional)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 12. Share your social media handles if you would like to be tagged in our communications in case you are selected. (Optional)

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* 13. Please, check one of the following boxes:

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