1. What environmental issue(s) would you like a Disciples eco-justice/environmental network to address?

2. In what eco-justice/environmental activities and/or organizations do you currently participate?

3. Does your congregation have an eco-justice/environmental program? If so, what is the focus of the program? Who are your partners (if any)?

4. How would you participate in a Disciples eco-justice/environmental network (check all which apply)?
Contact legislators
Donate time
Research issues
Donate resources
Develop resources
Other:  

Name

Address

City, state

Postal code

Phone

E-mail