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Survivor Led Business
Mutual Aid Group Interest Form
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Email
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Your email
What is your name/pronoun(s)?
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Your answer
What is the name of your business or project? What is the business mission?
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Your answer
What support are you seeking?
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Your answer
What support are you offering? Now is not the time to be modest - list your skillsets and capacities!
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Your answer
When are you consistently available for virtual group meetings? Please include your time zone and general geographic location.
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Your answer
I am:
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a Survivor of gender-based Intimate Partner Violence
A professional serving survivors. I do not work with the police or adjacent agencies (including Mandatory Reporting)..
A professional serving survivors. I do work with the police or adjacent agencies (including Mandatory Reporting).
Both a Survivor and serving Survivors
My business or project is:
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Not formed yet.
An idea in development.
In start-up phase.
Established but not sustainable.
Established, sustainable, and working on scale.
Established, sustainable, and working on equity/social justice refinements.
What problems do you need to solve for your business or project to become more sustainable or justice centered?
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Your answer
I have read work from the following authors/creators:
Dean Spade
Rafia Zakaria
Adrienne Maree Brown
Miriame Kaba
Patrisse Cullors
Ibram X. Kendi
Nicole Cardoza
Edgar Villanueva
Cara Page
Vandana Shiva
Meenadchi
Angela Chen
Toi Marie
Kelly Diels
Leah Lakshmi Peipzna - Samarasinha
Any work on decolonizing yoga
Which intimate partner violence author/influencer had made the greatest impact on you and your work?
Your answer
How did you hear about us and what inspired you to follow up about joining a Survivor Led Business working group?
Your answer
A copy of your responses will be emailed to the address you provided.
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