Income Movement: Pilot Community Engagement Program Inquiry

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Thank you for your interest in the Pilot Community Engagement Program and the supporting Toolkit and Resource Guide! Please tell us a little bit more about yourself and your needs or interest in the program. This will allow us to respond quickly and get you access to a broad range of support.

What is your full name? *

What is the name of your organization? *

What is your title at the organization? *

What is your email address for us to contact you? *

How did you hear about the Pilot Community Engagement Program? *

Guaranteed Income Community of Practice Email, Convening Or Slack

Social Media

News Article

Income Movement Email Or Other Direct Communication

Another Pilot Organization Told Me About It

Another Organization Told Me About It (Not Running A Pilot)

Other:

How would you describe yourself and / or your organization? *

A Pilot Organization

A Funder For Pilot Organizations

An Organization That Runs Or Supports Pilot Research

A Thought Leader Or Think Tank

A Nonproft Or Organization Interested In Running A Pilot

An Indivdiual Or Group Of Individuals Interested In Running A Pilot

A Member of The Grassroots Movement For Basic Income

Other:

Have you join the working group: Guaranteed Income Community of Practice (GICP)? https://gicp.info/ *

Yes

No But I Would Like To

Are you currently running a pilot program? *

Yes

No, But Interested In Exploring The Idea

No, But Our Organization Supports Pilots

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