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Changemaker Signup Form
This is where you sign up for the "What's Your Idea for Change" room on Clubhouse
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to save your progress.
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Email
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Your email
Name
Your answer
LinkedIn url
Your answer
Web Site (If applicable)
Your answer
Grievance (What problem are you trying to solve?)
Your answer
Vision of Tomorrow (How would you like things to be different?)
Your answer
Current Status (Where are you gaining traction and where are you getting stuck?)
Your answer
A copy of your responses will be emailed to the address you provided.
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