Joy Affiliate Circle- Visibility and Partnership Intake
Form to collect applicant details and preferences for joining the Joy Affiliate Circle.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
City, State
*
Instagram/Websites/Social Links
*
Area of Expertise/Offering/Role (select all that apply)
Healer
Educator
Culture Bearer
Facilitator
Herbalist
Therapist
Artist
Community Organizer
Other
Short Bio 2-3 Sentences
How would you like to be featured? (Check all that apply)
Directory Listing (Seed)
Social Media Post (Bloom)
Short Commercial Interview Feature (Radiance)
In-Person Facilitation Opportunity (Radiance)
Other
Upload 1 Photo to Represent You
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Are you open to being invited to community-based facilitation or storytelling opportunities?
Please Select
Yes
No
Maybe
What support or visibility would most help you right now?
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Should be Empty: