Submission Form Survey

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* 1. Full name

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* 2. Email address

Please enter your email adress

Please re-enter your email address

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* 3. RCE Name

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* 4. Age

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* 5. Gender

Female

Male

Other

Prefer not to answer

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* 6. Please choose which category you would like to submit your entry for:

‘Hearts’ – Show us one of your favourite places, tell us why you love it, and why it is under threat from climate change.

‘Heads’ – What would a climate-friendly home, school, or store (choose one) look like in your community? (What things would change? What things would stay the same?)

‘Hands’ – Show us what actions children, youth, adults and seniors can take together in your community to mitigate climate change.

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* 7. Upload your submission

IMPORTANT: Please name your file FirstName_LastName_SubmissionNumber (i.e. John_Smith_1)

PDF, PNG, JPG, JPEG file types only.

Choose File

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* 8. Caption - please provide a brief description of your submission, and explain how it answers the question (maximum 700 characters).

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* 9. [Optional] Additional photos/videos of work in progress

I would like to send in additional material (photos/videos of me working on my artwork), which may be featured in an upcoming video. [There will be a follow-up email for more information]

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* 10. Eligibility Requirements

I acknowledge that I meet the Eligibility Requirements and my entry meets the Submission Criteria.

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* 11. Privacy

I acknowledge that by participating in this challenge, I agree that my artwork/s, name, and captions can be featured in online promotional channels (including but not limited to websites, social media, email newsletters, Online Marketplace Exhibition in the 12th Global RCE Conference), in relation to this challenge.