Get Involved - Become a Moxie Contributor or Ambassador!

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We love our community and are so excited you want to get more involved! Please fill out this quick survey so we can better understand your interests and how they align with the organization. Once submitted a team member from Moxie will reach out with more info. Thank you!

Questions? Contact us at: hello@moxieadaptive.org

Email *

Name *

Phone Number *

Location (City, State, Country) *

What is your relationship to the limb different community? *

Individual with Limb Difference

Parent/Guardian of Limb Different Individual

Spouse of Limb Different Individual

Family Member of Limb Different Individual

Friend of Limb Different Individual

Required

How did you find Moxie Adaptive?

How do you want to get involved? (check all that apply)

Be featured on social media

Lead a regional meetup

Host/facilitate a virtual event

Provide admin support

Have a special skill to contribute

Other

Please provide additional info on your interests above:

What is you time availability per month?

1-2 hours

3-4 hours

5-6 hours

Project Based

Clear selection

Best way to reach you (ex: email, text, call)

Send me a copy of my responses.

Submit

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