Intro Class: Save My Spot

AccentureCC2025

*First Name

*Last Name

*Phone

*Email Address

Disclaimer: all demographic information is requested on an optional basis in order to comply with the terms of the Goatapelli Foundation's grant from Accenture Corporate Citizenship. Demographic data will only be reported on an aggregate basis. Any individual details shared with Goatapelli will be kept strictly confidential, in accordance with our Data Protection Policy, which is available upon request.

Location

Age

Gender Identification (Male, Female, Non-binary, Transgender, Other)

Race and Ethnicity Race and Ethnicity American Indian or Alaska Native Asian Black or African American Hispanic or Latino Middle Eastern or North African (MENA) Native Hawaiian or Pacific Islander White

Are you a U.S. Military Veteran? Are you a U.S. Military Veteran? Yes No

Employment Status Employment Status Full-Time Part-Time Self-Employed Unemployed Other

Name of current employer (if applicable)

In which of the following fields are you seeking employment? (Select all that apply) In which of the following fields are you seeking employment? (Select all that apply) Fire Mitigation Goat Grazing Landscape Restoration Regenerative Agriculture Other

What is your goal in taking this class?

Do you have any accessibility needs or accommodations?