Indigenous Women NYC Gathering Form

Indigenous Women's NYC Gathering Form

Saturday, October 27, 2018 | 10 am - 5 pm | American Indian Community House | Address: 39 Eldridge Street, 4th floor, New York, NY 10002
Full Name

First NameLast Name
Birth Date

MonthDayYear
Phone Number

Area CodePhone Number
Email
example@example.com
What borough/area do you reside in?

ManhattanBrooklynQueensBronxStaten IslandOther
Profile Photo

Browse Files

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What are your identifying Native Nation(s) /Tribal Affiliation(s)
What interests you about this event?*
How do you practice self-care?
Select the type

1 day Gathering1 day Gathering + joining Collective
Question for Applicants interested in joining the Collective, what times of projects might you be interested in joining?

Podcast seriesMMIW awarenessTheater/arts workshopsPublication/blog/newsletterOther
Will you consent to photos and/or recording?

YesNoOther
What do you want to get out of this event?
In a few sentences, tell us more about yourself (hobbies, passions, interests):
Should be Empty:

Indigenous Women's NYC Gathering Form