Street Address Line 2
State / Province
Postal / Zip Code
Place of birth
Date of birth
Describe your early years:
What was the religion or philosophy of your parents, siblings, and friends?
What schools did you attend?
What degrees, if applicable, did you earn?
Have you written any books or articles? Please describe or link to them here.
What were your adult years like? How did you relate to your family, spouse, associates, friends, children or grandchildren?
How do you define humanism?
If you grew up with a religious background how and when did you discover humanism?
How has humanism influenced your daily life?
Have you worked with or been a member of humanist institutions? Please describe your views working with them here.
How do you feel about the greater humanist movement of today? Do you have any recommendations for improvement?
What is your outlook for the future?
If there is anything else you’d like to include, please do so here.
Do you prefer to upload a file?
Do you have any images you’d like to share?
Do you prefer to submit an audio recording?
I give you permission to publicly quote my submission in my lifetime
I give you permission to publicly quote my submission in my lifetime, but I’d like to remain anonymous
Please do not publicly quote my submission in my lifetime
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