Form 6700-030 Climate Champions Final Reflection

OMB Control Number: 2030-0051

Expiration Date: 05/31/2024

This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2030-0051). Responses to this collection of information are voluntary. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to range from 1 – 5 minutes per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to Director, Information Engagement Division, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.

Climate Champions Final Reflection

Congratulations and MAHALO for participating in the Climate Champions Program!

Please take a few minutes to reflect on your work as a Climate Champion. In addition, please provide us with honest and constructive feedback so that we may continue to improve the Climate Champions Program for each new cohort. Your form submission will be viewed by CCSR's Climate Adaptation Team.

Feedback on Program Components

Please provide us with honest and constructive feedback so that we may continue to improve the Climate Champions Program each year.

1. How would you rate your overall experience participating in the Climate Champions Program?

• Very positive

• Somewhat positive

• Neither positive nor negative

• Somewhat negative

• Very negative

2. Please elaborate on your above answer:

3. Do you have any ideas for future improvement?

4. How would you rate your overall experience with the three professional development workshops?

• Very positive

• Somewhat positive

• Neither positive nor negative

• Somewhat negative

• Very negative

5. Please elaborate on your above answer:

6. Do you have any ideas for future improvement?
   
   
   

7. How would you rate your experience with the three virtual check-ins led by CCSR this summer?

• Very positive

• Somewhat positive

• Neither positive nor negative

• Somewhat negative

• Very negative

8. Please elaborate on your above answer:
   
   
   

9. Do you have any ideas for future improvement?
   
   
   

10. How would you rate your experience with the hōʻike event?

• Very positive

• Somewhat positive

• Neither positive nor negative

• Somewhat negative

• Very negative

11. Please elaborate on your above answer:
    
    
    

12. Do you have any ideas for future improvement?
    
    
    

13. Did you feel that the climate adaptation project you worked on was a good fit for this program? Why/why not?
    
    
    

14. What were the main challenges you struggled with in your role as a Climate Champion?
    
    
    

15. With respect to the previous question, what can CCSR or CBO mentors do to help future Climate Champions deal with or avoid these challenges?
    
    
    

16. Any last thoughts or comments on how we could improve this program in the future?
    
    
    

17. In what ways would you like to continue your participation as a Climate Champions alumni? (Please check all that apply).

• My email can be available for future Climate Champions to reach out

• I would like to receive updates on future Climate Champion projects (i.e. via a newsletter)

• I would participate in a panel to speak about my current or past professional work

• I would participate in a panel to speak about my climate adaptation project and Climate Champion experience

• None of the above

• Other…

EPA Form: 6700-030