Thank you for requesting to download Creative Reaction Lab's Equity-Centered Community Design Field Guide. Upon completion of this request form, you'll gain access to a free download of the guide. If you have any questions, please email eccd@creativereactionlab.com.

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* First + Last Name

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* Today's Date

Date

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* Primary email address

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* Occupation

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* Organization and Title (for informational purposes only)

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* Select the sector(s) in which you work

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* Briefly tell us how you intend on using the Field Guide.

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* What arenas of equity interest you?

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* Are you interested in Creative Reaction Lab providing a workshop for your organization or in your community? Selecting YES or MAYBE indicates agreement for us to contact you at the email address provided above.

The following demographic questions are optional, but responses are appreciated to help us better understand the diverse identities of the folx with whom we are connecting.

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* Which range below includes your age?

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* Please select all of the following that describe your racial/ethnic identity:

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* We are conscious that the options provided above do not allow for specificity as it relates to unique racial/ethnic identities (e.g. Peruvian, Chinese, Nigerian, Scottish, etc.). Please feel free to use the space below to self-describe in more detail.

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* Please describe your gender identity (e.g. nonbinary, genderfluid, woman, transgender, man, etc.)

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* Sexual orientation

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* Ability status (e.g. not living with a disability, deaf, neurodivergent, person living with ADHD)

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* Religious affiliation

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* Are you a veteran?

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