Request for Participants Form for the National Tribal Waste Management Peer Matching Program

Tribes and Tribal consortia may request peer matches for a variety of technical assistance needs related to waste management. Participants may build peer exchanges on existing partnerships to strengthen Tribes' waste management practices. Based on the requested assistance, EPA Headquarters, in collaboration with EPA regions, will facilitate a match between the Tribe seeking the technical assistance (mentee) and a Tribe with the appropriate expertise (mentor). As requested, EPA will provide facilitation (e.g., periodic conference calls and/or meetings), technical assistance or other support to work towards project goals. Matches are always voluntary.

To participate in the National Tribal Waste Management Peer Matching Program as a mentor or a mentee, please complete the following form. If you have any questions about participating in the program, please contact us.

Mentee or Mentor *

Mentee

Mentor

Tribe/Tribal Organization *

Name *

Email address *

Phone number *

Address

Type of technical assistance (requested or provided) *

Estimated timeframe or availability *

Additional information

May EPA include your Tribe’s information on the list of Program Participants on EPA's website? *

Yes

Do you anticipate that your Tribe will be using General Assistance Program (GAP) funds for this project? *

Yes

Request for Participants Form for the National Tribal Waste Management Peer Matching Program

Tribal Lands