For the Group - Practitioner Listing Form
The information on this form will be added to The List by For the Group. This list exists to uplift BIMPOC Practitioners and to create opportunities for List Accessors to engage with and hire them. Allow individuals to opt-in by adding themselves; do not add others unless you are assisting someone with completing the form.

Before filling out the form, please gather links to anything you want included in your listing. Examples include, but certainly not limited to:
- Instagram profile
- Resume
- Website

Please be aware that all of the information presented on this list is semi-public. There is an application process for those who wish to gain access to the list for hiring purposes; once an Accessor has been approved they will have access to the entire list.
Sign in to Google to save your progress. Learn more
Email *
Would you like to submit a new Practitioner listing? Or update an existing listing?
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy