JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Collaborate with Social Cipher!
Hi there, and thanks so much for your interest in working with our team! We'd love to get to know you a bit more through this form.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
Your answer
Last Name
Your answer
Are you a...
Gamer
Educator
Counselor/autism service provider
Parent
Other:
Clear selection
How would you like to work with us?
Game testing (individual)
Game testing (group)
Collaboration/partnership
Educator Focus Group
Other:
Clear selection
Where are you based?
Your answer
Would you like to be added to Ava's Adventures, our monthly newsletter?
Heck yes!
No thanks.
Clear selection
How did you find us?
Friend/Family
Kickstarter
Twitter
Facebook
Instagram
Other:
Anything else you'd like to add? (This can be more about your organization, ideas for events we could hold in the future, your favorite sci fi characters, etc.)
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Social Cipher.
Report Abuse
Forms
