Generator Membership Application

Generator Membership Application

Thank you for your interest in becoming a Member of Generator's community! Please complete the following application to start the membership process.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is there a nickname or moniker you would like to be called by?
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Please upload a photo of you for our staff's reference.*

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This will not be shared publicly. We use these to help our team know our new members and ensure they receive support in their early days in the community.
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Generator is committed to cultivating gender, sexual orientation and racial equity in the STEAM fields (science, technology, engineering, arts, and mathematics). To ensure that our programs serve those who have been systemically excluded from these fields, we ask for gender, orientation, and racial identifying information in program applications. This information will not be public and is only used internally to hold our organization accountable and ensure that we are continually attracting and serving a representative cross section of our community.
Gender*

FemaleMaleNon-binaryPrefer not to specifyOther
What pronouns do you use?
Would you describe yourself as transgender?*

YesNoPrefer not to specify
My orientation is:*

AsexualGay/LesbianBisexualHeterosexual/StraightPansexualQueerPrefer not to specifyOther
Race/Ethnicity*

American Indian, Alaska Native or First NationsAsianBlack or African AmericanHispanic or LatinxMiddle Eastern or North AfricanNative Hawaiian or Other Pacific islanderWhitePrefer not to specifyOther
Race/Ethnicity (This has been hidden to preserve data after updating to multi select option addition)*

American Indian, Alaska Native or First NationsAsianBlack or African AmericanHispanic or LatinxMiddle Eastern or North AfricanNative Hawaiian or Other Pacific islanderWhitePrefer not to sayOther
In a few sentences tell us what your are hoping to get out of your Membership.*
Age Range (Must be 18+ to become a Member)*

65+56-6546-5536-4526-3518-25
Do you have prior experience working in a Maker Space, Co-Working Space, or Shared Studio environment?*

YesNo
Which of our tools/shops are you hoping to work in?*

Wood ShopMetal ShopJewelry/Fine MetalsElectronicsCNCLaser Cutter/Engraver3D PrinterVinyl CutterSewingOther
Do you have prior experience working with any of the tools/shops listed below?*

Wood ShopMetal ShopJewelry/Fine MetalsElectronicsCNCLaser Cutter/Engraver3D PrinterVinyl CutterSewingNo Prior Experience
What type of Membership are you looking to pursue at Generator?*

General Membership ($95) a month.Volunteer Membership ($40 a month in exchange for 3 hrs. of service a week)Other
Are you a Champlain Affiliate?

YesNo

Are you looking to rent a studio or locker as part of your membership?*

Yes, Studio.Yes, Locker.Yes, Studio & Locker.No, but thank you for asking.
Are you looking to operate a business that would depend on Generators shop spaces?*

YesNo
What tools/shops would be of benefit to your business?
What products are you looking to create?
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