Let's See Yo Shine - The Equity Consortium Evaluator Intake Form

ABOUT YOU

This shouldn't take more than a few moments (15 minutes if you're a writer) and we can't wait to share yo light! Why are we asking these questions? We wanna brag that we know you to support your grind by helping us match you to the most interesting organizations.

For administrative transparency purposes, we ask demographic questions and for your privacy we ask for your preferences.

You are able to save and return, feel welcome to be thoughtful. Thank you for the grace of your time.

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* 1. Yo First Name

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* 2. Yo Last Name

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* 3. Yo Pronouns

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* 4. Contact Information:

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

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* 5. To cross reference with client organizations, please share any entities that you currently associate with or are currently engaged, or write "NA".

17% of survey complete.