DEMOCRACY LEARNING COHORT REGISTRATION

This form should take about 3-4 minutes to complete. Thank you in advance for doing so; this information will help us prepare and customize the learning experience to meet the cohort’s needs.

Contact information

First Name

Last Name

Pronouns

Where do you primarily reside (city and state)?

How knowledgeable are you regarding democracy issues, causes, and/or initatives?

Please describe your knowledge of democracy issues, causes, and/or initiatives:

How experienced are you with giving to democracy issues, causes, and/or initiatives?

Select from the options in the drop down menu.

Please decribe your experience giving to democracy issues, causes, and/or initatives:

Are there topics, issues, or questions that you're particularly passionate about and/or interested in exploring?