Human Book Application Form: November 27, 2018th | 11am-3pm
You seem like an interesting human story--let us know why!
Email address *
Name (First, Last): *
Your answer
Phone Number: *
Your answer
Twitter, instagram, or social media handle (if applicable):
Your answer
Please tell us about your story; as a Human Story, what would you like to share as it relates to your own experience with mentoring or being mentored? (150 words maximum) Consider this like the "book jacket", what the reader will see before deciding if they are interested in "reading" you. *
Your answer
Each story book has a title, what's yours? (Examples: The Mixed Half-Breed Native, The Tiny Brown Not-So-Skinny Humanitarian Come Politician, So This is Why I Talk To Plants, 6 Generations of Displaced Invisibility) *
Using identity markers in your title will give readers insight into the elements of self that may be read.
Your answer
The media is sometimes interested in covering the Human Library. Are you willing to speak with them? *
Do you speak any other languages that you are comfortable conversing in? *
Your answer
Do you have any special needs we should consider? (dietary, accessibility, etc.) *
Your answer
Do you have experience with public speaking, being on stage, or talking to the media? Please share. (Optional)
Your answer
Are you connected to Scarborough - past or present? (not required, but a consideration as we want to be intentional about a focus on local stories) *
How did you hear about this opportunity? Please provide name(s) if you were referred by someone. *
Your answer
For those human stories selected, there is a $100 honorarium offered. If selected, do you prefer to be paid via VISA giftcard (no paperwork) or cheque (cheque requires paperwork below)?
Thank you! The Human Library Project is brought to you by:
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