RUCKUS MEMBERSHIP INTAKE FORM STEP 1 OF 4.
RUCKUS is a place where makers, artists, inventors, designers, artisans, photographers, craftspeople, engineers and dreamers can share equipment, technology, and ideas to help launch their next creation. We are seeking full time Resident Makers or emerging Makers that are serious and want to become a full time startup.

We now have four locations with specific environments to best fit your needs:

- The RUCKUS Makerspace: Our main shared space for product based startups, artists and artisans launching a business.

- MicroMFG: A place for small scale manufacturing.

- The Food Beauty Center: A place for plant-based food product startups

- RiverWest Works: Co-working office suites for entrepreneurs seeking a clean and quiet environment.

This survey is step 1 of 4 in the review and consideration process for any new RUCKUS Maker
For a tour please fill out our tour request form. A guided tour does not guarantee you a spot in RUCKUS.

https://docs.google.com/a/rileyarea.org/forms/d/e/1FAIpQLSfcEhiDlr4iniqDigPv_1vtrqcR4rxE9R7wcXSNW3TK7rKbqA/viewform

or visit our website!

Email address *
Contact Phone Number *
Date *
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Your Name *
Do you live in Marion County? *
What is your Product, Brand, Company or Organization's Name? *
What is your business' website or social media handle? *
What are your trades and skills? *
(Check all that apply)
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What product do you make or service do you provide ? Or what do you want to make/provide? *
Which space are you interested in? *
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Have you developed a business plan? *
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Who is helping you? *
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Of the major work areas inside the RUCKUS spaces, which ones are you most likely to use? *
Choose 3
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Of the following services in RUCKUS, which ones would you use to help launch your start-up or grow your business? *
Choose 3
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What level of involvement are you looking to have in RUCKUS? *
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Tell us about your work or experience in a shared environment or organization. *
Where are you working now and why is that location not ideal for you? *
Regarding your startup; What are you most excited about? What are you most afraid of? *
If any, what would be your most significant barrier to joining RUCKUS? *
Would you teach a class at RUCKUS or be willing to lead community engagement? *
Feel free to provide us any additional information?
Feel free to upload a work sample?
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