Collective Imagining Application Form

First Name(Required)

Last Name(Required)

Email Address(Required)

Phone Number

Which state or territory do you live in?

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What are you pronouns?

This helps us understand the best way to address each other and respects the wonderful gender diversity in our community. If you'd prefer not to write your pronouns, you can write "prefer only being referred to as my name".

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Tell us why you want to join Collective Imagining. Please send us a two minute video or write a 250 word piece of writing telling us why you want to be involved.(Required)

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Max. file size: 64 MB.

Collective Imagining Application Form

Apply for Collective Imagining