Take Action Workshop Intake Form

Take Action Workshop Intake Form
Speak one-on-one with industry specialists on how to get involved in the cannabis industry and with legal experts about your criminal convictions. Fill out our intake form so we can gather some information about you to determine the best way we can help.

Disclaimer:
This questionnaire is created for Cannaware’s informational purposes only and is not designed to create an attorney-client relationship with any legal provider present at the Take Action Workshop.
Full Name*
Date of Birth*

MonthDayYear
Date
E-mail:*
Phone Number*

Area CodePhone Number
City, State*
What type of help are you looking to receive at our workshop?*

Getting a criminal conviction sealed or expungedPursuing a career in the cannabis industryStarting a cannabis businessBringing cannabis education and social events to your community
Value

Cannabis Education & Social Events Intake Form
Are you interested in bringing cannabis education to your community? Are you looking for support with hosting cannabis-related social events in your neighborhood?

Please complete this intake form so we can gather some information about your needs and figure out the best way we can help

What to bring to make your time must efficient:
- A breakdown of the topics you would like to bring awareness to
- A breakdown of the type of event you would like to curate and your budget
Name*
Email*
example@example.com
Phone Number

Area CodePhone Number
Website*
Type NONE if you don't have one
Instagram*
Type NONE if you don't have one
Facebook*
Type NONE if you don't have one
LinkedIn*
Type NONE if you don't have one
What neighborhood do you live in?*
Are you interested in bringing Cannabis Events or Information to your neighborhood?*

Cannabis EventsCannabis InformationBothAlready organizing events and/or curating information but interested in collaborating with Cannaware on projects
What kind of cannabis events are you interested in doing? *
What cannabis information would you like to bring to your community?*
How would you like to collaborate with Cannaware?*
Where do you get cannabis information from? (Social media? Print media? Broadcast media? Word of mouth?)*
List your favorite outlets
Would you like to sign up to our Cannaware Newsletter to receive updates.*

YesNoAlready subscribed
Additional Comments

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Criminal Justice Legal Aid Form