Join ESIL

Please complete this form to enroll in the ESIL certificate program.

Name (First & Last) *

E-mail *

Phone Number *

Physical Address *

Name of High School and Date of Graduation *

Prior College Degrees - if Applicable

If applicable, provide major, degree, and date degree awarded.

Prior Institutions Attended - If Applicable - Since High School

Plese list prior institutions you attended, even if you weren't awarded a degree.

Please provide information about your professional or career interests, including your interest in the Environmental Stewardship of Indigenous Lands certificate program (Limit to 200 words) *

Please describe how you have worked with Indigenous communities or plan to collaborate with Indigenous communities. Include in your answer how you envision putting ESIL’s programming into practice. *

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