Home Energy Efficiency 101 Registration Question Title * 1. Personal Information Name Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number OK Question Title * 2. I'd like to sign up for a Home Energy Efficiency Workshop on... Wednesday, October 23, 2019 from 6 pm - 7 pm at the East Flagstaff Library Wednesday, November 13, 2019 from 6 pm - 7 pm at the Downtown Library OK Question Title * 3. How many people will be attending? 1 2 3 4 5 Other OK Question Title * 4. How did you hear about this workshop series? Flier Social Media Daily Sun KNAU Friend Email Online CityScape Other OK Question Title * 5. What do you hope to learn at this workshop? How to use less energy. How to save money on energy bills. How to shrink your carbon footprint. How to keep your home cozy. Other (please specify) OK Question Title * 6. On a scale of 1-5: How would you rate your current knowledge of energy saving practices? No knowledge Some knowledge Average More than average I know a lot! No knowledge Some knowledge Average More than average I know a lot! OK Question Title * 7. Do you need childcare to be provided at the workshop? Please let us know in advance. 213-2144 Yes No OK Question Title * 8. Do you need Spanish translation to be provided at the workshop? Please let us know two weeks in advance. Yes No OK DONE