Fashioning Liberty Seminar Application

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Name *

Email Address *

Phone Number *

Age *

Background and Interests

Educational Background (schools, majors/minors, degrees, relevant coursework) *

Occupation (or, "What do you do?" *

List the last 3-5 books you completed reading, and roughly the dates of completion *

A bit about you and your interest in the seminar *

Meetings

Evenings you are available (at 7pm CT)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday (2pm)

Sunday (2pm)

Platforms on which you currently have accounts

Facebook

Slack

Google (drive, gmail, etc.)

Zoom

Skype

How did you find out about this seminar? *

Consent to Record *

I consent to the recording of seminar lectures and discussions. All recordings will be owned solely by the seminar facilitator and may be used for any purpose as determined by the facilitator. In addition, all materials created, presented, or shared as part of this seminar, whether by participants or others, shall be the property of the facilitator.

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