Contact information
Innovate Michigan a new Collaborative body with an emergence of solutions and perspective to challenges within our city impacting our state!
Sign in to Google to save your progress. Learn more
Video for more context!
Name *
Email *
Are you able to meet at 6pm-7:15pm 1-2 times per month in Battle Creek? *
I can only meet virtually. 
Clear selection
I can meet during the afternoon if scheduled out.
Clear selection
Phone number
What questions might you have after watching video! 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report