Name *

First Name

Last Name

What is your leadership title? *

County commissioner

City council member

Tribal council member

Water district board member

Electric cooperative board member

Other

As a member or potential member of Western Leaders Network, what types of resources would be beneficial to you in your official capacity? (Check all that apply) *

Case studies (e.g. on communities that model clean energy policy, economic diversity, etc.)

News relevant to western communities

Peer-reviewed papers and reports

Educational webinars and training

What types of skill-building would benefit you as a leader? (Check all that apply) *

Lobby training (e.g. how to talk to legislators and communicate your message)

Social media use

Drafting statements and editorials for media

What issues are most pressing within the community you serve? (Check all that apply) *

Public lands protection

Water (conservation, quality, diversification of use, etc.)

Air quality

Economic diversity

Clean energy development

Climate change impacts

What types of action might you be willing to take for Western Leaders Network initiatives? (Check all that apply) *

Writing letters-to-the-editor and op-eds for the media

Traveling to meet with policymakers

Signing petitions or letters

Would you be interested in attending an annual summit for Western Leaders Network? *

Yes

No

Would you like to be contacted by Western Leaders Network to stay informed on issues affecting western communities? *

Yes

No

How often would you like to receive news from Western Leaders Network? *

Weekly

Monthly