Science & Magic™ Application: Equity Membership

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This application is for folks who are interested in a Science & Magic™ Equity Membership for $22/month. All information provided in this form will be kept confidential.

Space is limited, and priority will be given to BIPOC, LGBTQI, and disabled folx. Those accepted into this program will be asked to reapply every two years.

All recipients will be notified of acceptance by the 1st of every month.

Name (first & last) *

In what way(s) would you like to grow and/or be nourished? How do you believe this membership will help you with this growth/nourishment? *

Scholarship priority will be given to BIPOC and LGBTQ+ folx - is there anything you would like to share regarding your identity (racial, sexual orientation, gender, etc)?

Are you ready to invest monthly time and energy into the Science & Magic™ Portal? *

YES

Is there anything else I should know about you in regards to this application?

Thank you for your interest in a Science & Magic™ Equity Membership!!

You'll be notified of your acceptance by the 1st of the coming month.

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