UWinnipeg Sustainability Engagement Sign-up Form

The Campus Sustainability Office (CSO) is committed to helping students, facility and staff become more involved in social and environmental initiatives on campus and in the wider community. Tell us how you would like to get involved and the types of personal development and leadership opportunities you would like to see.

With your permission the CSO will let you know about upcoming events, projects, community engagement and leadership opportunities. Your contact information will be kept in complete confidence and will only be used to communicate with you in ways for which you have provided explicit consent.

**Any personal information provided on this survey is collected under the authority of 36(1)(b) of the Freedom of Information and Protection of Privacy Act. It is collected to administer the survey and will not be used or disclosed otherwise. Questions regarding this collection can be directed to the Information and Privacy Officer, 515 Portage Avenue, Winnipeg, MB R3B 2E9 or 204.988.7538.**
Name Name * First Last
Email *
Do you want to receive the CSO engagement newsletter?
(we will not send any emails and you can unsubscribe at any point) *

Do you want to receive the CSO engagement newsletter?
(we will not send any emails and you can unsubscribe at any point) * Yes, sign me up! No thanks, I'll check the website on my own.
Do you want to be notified about volunteer/leadership opportunities *

Do you want to be notified about volunteer/leadership opportunities * Yes please! No thanks, I'll check the website on my own.
What is your phone number?
(Your inbox is probably already full with unread newsletters and junk mail. With your phone number we can text and, once in a while, call about events and projects you might want to work on)
- ### - ### ####
Postal Code:
Are you a: *

Are you a: Student Faculty Staff Other Other
Tell us about yourself! Answer these questions to help us gain a better understanding of our campus community. Tell us about your education, hobbies and talents so we can share the most appropriate opportunities with you.
If you're a student, what is your department/degree?
How many years have you been going to school on campus?

How many years have you been going to school on campus? One Two Three Four Five Six Other Other
When do you plan on graduating?
If you're staff or faculty, what is your role here at the U of W?
How would you characterize your knowledge/ awareness of sustainability and environmental issues?

(1 = limited knowledge and awareness, 10 = lots of knowledge and awareness)

How would you characterize your knowledge/ awareness of sustainability and environmental issues?

(1 = limited knowledge and awareness, 10 = lots of knowledge and awareness) 1 2 3 4 5 6 7 8 9 10
What issues are you interested in working on? Please select all that apply:

What issues are you interested in working on? Please select all that apply: Social Justice and equality Environmental degradation and protection Climate change mitigation and adaptation Energy justice and green economy transitions Water rights Food security Indigenous rights, reconciliation and decolonization Local sustainable economic development I don't know yet! Other Other
Do you think there are enough opportunities to volunteer for causes you care about on campus?
What opportunities for engagement or activism should be more available on campus?
Over the course of the academic year, how much volunteer time are you willing to lend to social and environmental initiatives?

Over the course of the academic year, how much volunteer time are you willing to lend to social and environmental initiatives? Helping at a few events throughout the year Working on a given project once or twice a month (5 to 10 hours per week) Working on a given project once a week (2 to 5 hours per week) Attending engagement planning meetings once a month Other Other
Please list any skills or talents you can see yourself using, or that you'd like to develop, while working on environmental and social initiatives with the CSO

(e.g., graphic design, photography, radio/film production, writing, visual/performance art, computer skills, web development, research, etc.)
Please use the space below to ask questions or to provide additional information that might be useful as we work to provide meaningful volunteer and learning opportunities.
Thank you!

Thank you for taking the time to complete this survey. Your responses will help us determine which types of activities to pursue and which ones to tell you about.

If you have further questions or suggestions please contact:

Joseph Waslycia-Leis
Campus Sustainability Coordinator
204.998.7618
j.wasylycia-leis@uwinnipeg.ca
OR
sustainability@uwinnipeg.ca

UWinnipeg Sustainability Engagement Sign-up Form

UWinnipeg Sustainability Engagement Sign-up Form

What is your phone number? (Your inbox is probably already full with unread newsletters and junk mail. With your phone number we can text and, once in a while, call about events and projects you might want to work on)

Tell us about yourself! Answer these questions to help us gain a better understanding of our campus community. Tell us about your education, hobbies and talents so we can share the most appropriate opportunities with you.

Thank you!

What is your phone number?
(Your inbox is probably already full with unread newsletters and junk mail. With your phone number we can text and, once in a while, call about events and projects you might want to work on)