Membership Application

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.
YesNo
There is a different form for Champlain affliates. Please complete the form found HERE to request a Generator Membership from the Champlain College Maker Program.

Feel free to reach out to makers@champlain.edu with any questions or concerns!"
Please upload a photo of you for our staff's reference.*

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.
Cancelof
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.
FemaleMaleNon-binaryPrefer not to specifyOther
What pronouns do you use?
AsexualGay/LesbianBisexualHeterosexual/StraightPansexualQueerPrefer not to specifyOther
American Indian, Alaska Native or First NationsAsianBlackAfrican AmericanHispanic or LatinxMiddle Eastern or North AfricanNative Hawaiian or Other Pacific islanderWhitePrefer not to specifyOther
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 you are hoping to get out of your Membership.*
65+56-6546-5536-4526-3518-25
YesNo
Wood ShopMetal ShopJewelry/Fine MetalsElectronicsCNCLaser Cutter/Engraver3D PrinterVinyl CutterSewingOther
Wood ShopMetal ShopJewelry/Fine MetalsElectronicsCNCLaser Cutter/Engraver3D PrinterVinyl CutterSewingNo Prior Experience
General Membership ($99) a month.Volunteer Membership ($45 a month in exchange for 3 hrs. of service a week)Other

Yes, Studio.Yes, Locker.Yes, Studio & Locker.No, but thank you for asking.
YesNo
What tools/shops would be of benefit to your business?
What products are you looking to create?
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