Critical Fields Membership Application

Critical Fields Membership Application
Name*

First NameLast Name
Email address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number
Please enter a valid phone number.
Notes about individual membership:
Membership includes access to the archive, fields, and our broader network. You'll have a profile where your contributions to the archive, your writing, and your indpendnet work can be highlighted.
Why are you interested in joining Critical Fields?
What contributions are you interested in making?

Contributing to the ArchiveHaving your work publishedBecoming an EditorHelping to grow the site and brandPlanning/Speaking at in-person events
Your Business/Organizational Involvements
Your interests, skills, and experience
Personal Website/Links
Additional member name(s) and email(s) you'd like to nominate
Should be Empty: