Interest Form
Dear Community Member,

Vine Communities is a project created out of the need to empower families within communities to become resilient and self sufficient. At this stage, we are in set up and information gathering phase. Your interest signify the importance of this project and provides us with a reason to move forward. The more people we have, the more we will engage in conversations around these topics. Please fill in the form below as carefully as possible.

Next steps: all those interested will gather on a call to discuss further how a vine community can be set up within your area and what are the opportunities and challenges we might have as a community.
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I agree to provide relevant information and I understand that this information will be kept confidential and will not be shared with other parties *
Required
Your Full Name *
Your Email Address *
Please name your current community and state if you are a permanent resident or renting
What is your current professional background if any?
What are your current vocational skills (hobbies and household skill set, you may choose more than one)?    I am good at: *
Required
On a scale of 1-10 how committed you are to living a self sufficient lifestyle?
Clear selection
Describe your vision of a self sufficient and resilient lifestyle:
On a scale of 1-10 how committed you are to live in a community that practices resource sharing?
Clear selection
Describe your vision of a collaborative and resilient community:
Are you interested to become part of the the managing team of vine communities project?
Clear selection
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