* 1. My name is:

* 2. I am looking to collaborate in the following genre(s):

* 3. I am looking to collaborate for the following medium:

* 4. My neighborhood is:

* 5. I would bring the following skills and strengths to a collaborative relationship:

* 6. I am looking for a collaborator with the following skills and strengths:

* 7. Are there any questions you would like to be addressed at this event?

* 8. Any other comments: