Membership Application 2023
This is an application for those who wish to be members of The WorcShop at 11 Hankey St, Rochdale MA.
Once your application has been reviewed, we will send you an invoice for your first payment, contact you to set up an intake interview, and issue you a keycard for access to our building. We are an inclusive makerspace and business incubator dedicated to creating a space where people have access to the tools they need to create anything they can imagine.
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Email *
Participant's Full Legal Name: *
Participant's Preferred Name: *
Participant's preferred pronouns:
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Birth date: *
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I am applying to be a _______ tier member: *
What date would you like your membership to start? *
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If you're getting a cohort membership, please list the other adults you'd like to have in your cohort: (if you're an individual, just put n/a here)
If you're a supporting member, please let us know how much you'd like to spend to support us each month.
Would you like to rent space? ((Only Full-Time Members and cohorts are allowed to rent space, supporting members do not get 24/7 access to the building, only to our events and member meetings, and the 25% discount on classes.))
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Primary Phone Number *
Secondary Phone Number
Mailing Address (Street, City, State, Zip Code ex: 11 Hankey St, Rochdale, MA 01542)  *
Emergency Contact: (Name, Phone Number, AND Relationship to you) *
Are you over the age of 18? *
Required
Do you own your own business? *
If you own your own business, tell us about it! (Include links to your social media if possible!)
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