Email address
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Full Name
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What is your ethnicity?
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African
Afrikan
Afro-diasporic (Afro-Caribbean, Afro-Cubano, Black/African-American, Afro-Brazilian, etc.)
Other
Where are you generally located? (Reside/live the majority of the time)
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Northern Africa
Southern Africa
Eastern Africa
Western Africa
Caribbean (including US "Territories")
North America (USA only)
North America (Canada)
South America
Asia
Middle East
Europe
Austraila
Central Africa
Determine Your Chapter: Select Area Where You/Organization is most Active
USA North
USA East Coast
USA Southeast
USA Southwest
USA West Coast
USA Midwest
Caribbean
South America
West Africa
North Africa
Central Africa
Eastern Africa
Southern Africa
Europe
Asia
Australia/New Zealand
In what capacity are you joining this network?
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I am joining as an INDIVIDUAL interested in networking and connecting with other like minds
I am joining as an ORGANIZATION interested in being considered for contracts, bids, and/or projects
Both an INDIVIDUAL and an ORGANIZATION
ORGANIZATION/ BUSINESS name, if joining professionally
ORGANIZATION/ BUSINESS type
For-profit
Non-profit
B-Corp
ORGANIZATION/ BUSINESS Industry or INDIVIDUAL Skill/Strength (Select all that apply)
Agriculture/Sustainable Food Production
Green Infrastructure/Water Resource Management
Eco-friendly Building
Education
Alternative Energy
Finance/Economics/Investment
Green Equity/Environmental Justice
Natural Medicine, Holistic Health/Nutrition
Natural Products
Sustainable/Natural Clothing/Textiles
Security/Protection
Survival/Preparedness
Environmentally Friendly Transportation
Trade-Import/Export
Other
As an individual I am interested in the following...(Select all that apply)
Skills necessary to support or develop sustainable communities
How to establish an Intentional Community Living Plan (find the right circle of like-minded families/people, find the best location that is aligned with your future, and learn how to contribute to the community you join/create).
How to develop Sustainability Projects that serve the Black/Afrikan community
About various intentional communities and how you can contribute to their success
How to become self-sufficient in an urban environment; adapt to your situation and provide for your family
How to become self-sufficient in a rural environment; adapt to your situation and provide for your family
I own land and want ideas on what to do with it.
Other
As an organization I am interested in the following...(Select all that apply)
Skills necessary to support or develop sustainable communities
Sustainable solutions for current or future projects
How to develop Sustainability Projects that serve the Black/Afrikan community
Connecting with experienced individuals or complementary organizations (expanding network)
Collaborating with experienced individuals or complementary organizations (working together)
I own land and want ideas on what to do with it.
Other
Why are you interested in joining this network? What do you hope to gain? What will you contribute?
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Would you like to volunteer to support the 2020 Summit? Include your skill set(s) you would like to contribute.
Mailing Address (optional)
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