Human Book Registration Form for the Human Library @GateWay
Thank you for your interest in serving as a Human Book for the Human Library. The Human Books are unpaid volunteers who are subjected to stereotyping and prejudices, and willing to share their experiences with the community. The Human Library will take place on Tuesday April 11th, 2017. We will contact you for scheduling and details. (Emi)
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone number *
Your answer
Availability *
What time would you be available on Tuesday April 11? (Check all that apply)
Your book title *
Give yourself a book title which is short and clear (transgender, female cop, HIV positive...) Please see the samples below.
Your answer
Your brief biography *
Your biography will work as a book jacket. Up to 75 words, please provide a description of your life and one bias/stereotype (gay, veteran, police officer, etc.) you have experienced. You can write as first person (I) or a third person (your first name only). Your biography will be included in our online registration system without your identity. The readers will select a Human Book based on the stereotype in the biography. Here are some samples.;
Your answer
Please tell us if you have any special dietary needs. We will provide light lunch.
Your answer
Your t-shirt size (men's) *
We have limited t-shirt sizes. No XS available. If you need a size other than the list, please indicate it in the comment area below
Any questions or comments?
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Maricopa Community College District. Report Abuse - Terms of Service - Additional Terms