Rising Tide Leader Application
Thank you for your interest in leading a chapter of the Rising Tide Society. Tell us a bit about yourself and we'll be in touch within 2 weeks!
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Full Name *
Preferred Pronouns
Email Address *
Industry/Field *
Phone Number *
Physical Address:
Street Address ONLY
*
Suite/Apartment
Town/City *
State/Province *
Zip Code *
Country *
Name of chapter / City you are applying to lead *
Facebook group link (if applicable) of this chapter if one exists *
In what capacity are you applying to lead:  *
Have you read the mission/values statement of Rising Tide? 

Mission / Values Doc
*
How would you describe your leadership style? *
About how many hours a month could you dedicate to Rising Tide leadership?  *
How long have you been involved with Rising Tide? Tell us about your involvement.  *
Why do you want to lead this chapter? Share your "why" for this role.  *
How will you encourage a safe space for all in your community to feel like they belong? How will you consider accessibility in your leadership?  *
In your own words, why is Rising Tide important?  *
Anything else you want to share? 
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