The Melting Pot Interest Form

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The Melting Pot Interest Form

Thank you for your interest in joining The Melting Pot, a virtual support group for people with multiracial identities. The first iteration of this group was held in March and April of 2024 but I hope to host more groups in the near future. Please complete this form so that you are notified when the next group begins. If you need to reach me please email me at: colin@nycaffirmative.com.

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Name *

First and last name

Your answer

Pronouns *

Your answer

Email *

Your answer

Phone number *

Your answer

In a few words, tell me about your interest in this group. *

Your answer

How did you hear about this group? *

Your answer

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