Collaboration Request Form

Thank you for being here. If you’re considering a collaboration, you’re welcome to share a little about what you have in mind through this form.I’ll read through your responses with care and get back to you as soon as I can via email. If you prefer, you can also email me at [email protected]

Email*

1.Your Name*

2.Email address*

3.Phone Number*

4.May I have your title (or) your organization name (if any)? You can share a little about yourself, your work, or your team.*

Characters remaining: 1000

5.What would you like to collaborate on?*

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6.What inspired you to reach out?*

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7.Who is this for? Tell me a little about the people you’re hoping to support.*

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8.How would you like this collaboration to take place?(You can select what feels most suitable)*

Online

In-person

Hybrid / open to either

Not sure yet

9.Where would this take place? (if in-person) You can share the location or area if you have it in mind.*

Characters remaining: 1000

10.Do you have a budget in mind for this collaboration? If you’re open to sharing, this helps me understand how to best shape something that works for you.*

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11.Is there a rough timeframe you have in mind?*

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12.Is there anything important you’d like me to know?*

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