Climate Emergency Action
About you
First name
Last name
Email Address
What is your gender?
Female
Male
Rather not say
What is your age?
18-24
25-34
35-44
45-54
54-65
65+
Rather not say
Please give your date of birth
What is your ethnic group?
White
Mixed / multiple ethnic groups
Asian / Asian British
Black / African / Caribbean background
Other ethnic group
Rather not say
Which best describes your ethnic group or background?
English/ Welsh/ Scottish/ Northern Irish / British
Irish
Gypsy or Irish Traveller
Any other white background
Which best describes your ethnic group or background?
White and Black Caribbean
White and Black African
White and Asian
Other
Which best describes your ethnic group or background?
Indian
Pakistani
Bangladeshi
Chinese
Other
Which best describes your ethnic group or background?
African
Caribbean
Other
Which best describes your ethnic group or background?
Arab
Other
Please describe
Please tell us one or more of the following about yourself
Name of your parish
Please include the town/area
School
Organisation
Occupation
About your interest in climate change
Are you currently affiliated or working with any formal or informal climate or justice groups/movements?
Yes
No
If yes please let us know which groups, and what kind of work they undertake, if you wish:
Do you have any experience/knowledge/skills in the area of climate change, environment, leadership, justice and peace or anything else relevant to a climate response? If so, please share that here:
Is there any information that you would particularly like to ask the Archdiocese regarding climate action? Or any points that you would like to see raised in climate meetings?
Stay in touch
Would you like to attend the first Climate Action Meeting,
on Zoom, on 16th September 7-9pm
?
Yes- please send me the link
No- I would just like to sign up for updates
Can we contact you in future regarding climate change / Laudato Si’ updates from the Archdiocese of Birmingham, via the Kenelm Youth Trust ?
Yes
No
Archdiocese of Birmingham Privacy Policy: https://www.birminghamdiocese.org.uk/privacy-policy
Kenelm Youth Trust Privacy Policy: https://www.kenelmyouthtrust.org.uk/uploads/1/1/2/0/112091691/privacy_statement.pdf
Contact Information