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Expression of interest in Working Area Interest Groups Please send this application form to [email protected] Personal Data Family name(s): First name(s): Affiliation Organisation ........................................................................... Department ........................................................................... Position ........................................................................... Type of organisation and sector (Tick a box and describe your sector) Government Academia Policy/others Research Centre University Private Sector Consultancy SME Big Company NGO International Organisation Industrial Sector(s) experienced in Contact Details Email: Phone: Street: Postcode: City: Country: Find us on the web www.lifecycleinitiative.org • Contact us by email [email protected] • Follow us on Twitter @LC_Initiative Geographic Situation (Tick a box) Africa/Middle East Asia Pacific Europe Latin America North America Global Interest in Flagship Activities Environmental Life Cycle Impact Assessment indicators (FS1b) LCA in Organizations (linked to the ISO work) (FS1c) Data and Database Management (FS2a) Hotspots Analysis (FS3a) Global Capacity Development (FS 4a) For the ‘LCIA indicators’ (FS1b) Flagship Activity, please tick your preferred option Global warming (climate change) Respiratory inorganics (including indoor PM) Biodiversity impacts of land use Water use (WULCA group) Acidification, eutrophication and ecotoxicity (preparing for 2nd phase) Cross-cutting issues: normalisation and weighting For the ‘LCA in Organizations’ (FS1c) Flagship Activity, please cross your preferred option Stakeholder feedback group member (revieweing the drafted versions) Provider of examples of case studies in organizations Find us on the web www.lifecycleinitiative.org • Contact us by email [email protected] • Follow us on Twitter @LC_Initiative For the ‘Data and Database management (FS2a) Flagship Activity, please cross your preferred option Organization/country as potential host for training events Organization/country as potential contributor to database network Potential contribution Sub topics or additional topics:............................................................................................... What is your availability in hours per month per flagship activity? .............................. ........ .... Experience and references / Publications (Add weblinks if possible) Your opinion counts! Find us on the web www.lifecycleinitiative.org • Contact us by email [email protected] • Follow us on Twitter @LC_Initiative
