Apply to Changemakers Circle | April-Nov 2024
Welcome!!!

Thank you so much for your interest in participating in the next Changemakers Circle with Realize Change, open to women and non-binary individuals ages 18 and up who want to make a difference through a self-driven initiative.

All the program information can be found here: http://www.realizechange.org/changemakers

Please fill out this short form to apply to the program. The purpose of the application is to:

a) ensure everyone present is set up for success in terms of both receiving from and contributing to the circle experience, and

b) ensure a diverse group of participants, in order to create a space where people with BIPOC, LGBTQ+, and other historically marginalized identities feel "in good company."

We will prioritize ventures that help to further a more compassionate, just, and/or sustainable world -- and we're open to the many ways that can take shape!

After applying, you will be contacted to set up a conversation to make sure this is a mutually good fit. Once accepted into the program, you'll have 48 hours to accept or decline your spot and enroll with payment.

UPDATE as of April 1: We still have a few spots available. Applications will be reviewed on a rolling basis until the program has filled. Please apply ASAP.

Looking forward to seeing your venture blossom!

With gratitude,
Sarah
sarah@realizechange.org
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Your first name *
Your last name *
Your pronouns *
Your email address *
Your phone number *
Please share a little bit about your venture or venture idea. *
Where are you on your entrepreneurial journey, and how are you looking to grow? *
What would you like to come away with from the Changemakers Circle? *
What skills and strengths would you bring to our community? (e.g. good listener, offer resources and recommendations, etc.) *
Realize Change is committed to diversity, equity, inclusion, and justice. To ensure a diverse group, please list any identities you hold that you feel comfortable sharing (e.g. racial, cultural, religious, gender, sexual orientation, ability, etc.). How would you engage with others holding different identities? *
We also seek to make this experience available to individuals in different financial circumstances. Please choose which level is aligned for you. (The fee may be split into 5 monthly payments.) 5% of the proceeds from this cohort will be donated to DC Greens. *
Do you have any accessibility needs to make it possible for you to fully participate in the program? *
How did you hear about Realize Change? *
Name of person / organization that referred you *
Which of the following best reflects your situation, if accepted to the program? *
Anything else we should know?
A few times a month, we email our community about workshops, free gatherings, changemaker interviews, career resources, and other fun and juicy things. Would you like to receive occasional updates from Realize Change? You can unsubscribe at any time.
Please note that we collect, process, and store your data according to our Privacy Policy and that submitting this form constitutes your full understanding of and agreement with these terms.

Please read our Privacy Policy at www.realizechange.org/privacy.
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