Urban Agriculture and Food Systems – ECOP Leadership Group

Urban Agriculture and Food Systems – ECOP Leadership Group
Name*

First NameLast Name
Institution*
Job Title*
Email*
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Please indicate your preferred level of involvement*

I would like to participate in a planning or leadership roleI would like to serve as a member of a team or committee focused on a specific issue or opportunity related to Urban Agriculture and Food SystemsI would like to be on a contact list and receive future communications from this groupI do not wish to be involvedI do not wish to be involved I am referring you to a colleague (or colleagues) who might be interestedOther Involvement (Please Describe)
Contact Information for Colleague(s)
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Please rate your degree of interest in the following areas on a scale from 1 (no interest) to 5 (a great deal of interest)*

Rows	1 - No Interest	2	3	4	5 - Great Deal of Interest
Urban Food Supply and Food Systems
Urban Landscapes and Greenspaces
Urban Community and Economic Development
Urban Food Production Practices and Technologies
Urban Water Use and Management
Other area related to urban agriculture and food systems (describe in question below)

If you chose interest "Other area related to urban agriculture and food systems)" in the previous question, please describe.
Should be Empty: