OERM Technical Assistance Request Form

OERM Technical Assistance Request Form

Name*

Please enter your full name

Contact Email*

Please enter your email address

Contact Phone Number*

Please enter your phone number

Title/Role*

Please enter your title or position

Tribal Nation/Organization Affiliation*

Please select the Tribal Nation or Organization you are affiliated with

Select or enter value

Request Type*

Please select your request type from the dropdown menu provided

Select or enter value

Environmental Resource Topic*

Please select the topic of your request from the dropdown menu provided

Select or enter value

Description of your needs for Technical Assistance*

Please describe, in detail the technical assistance you would like to receive from USET's Office of Environmental Resource Management department and how it will support your work.

Currently working with USET Staff?*

If you area already working with a USET staffer, please choose YES

Select

Name of USET Staffer*

Please enter the name of the USET Staffer you are working with/have been in contact with.

USET Staffer Email*

Please enter the email of the USET Staffer you are working with/have been in contact with.

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