Groundswell Explore Application
Please tell us a bit about yourself.
Start Date *
Please select which start date you are applying for:
First Name *
Your answer
Last Name *
Your answer
Mailing address *
Your answer
Email *
Your answer
Phone *
Your answer
Gender
Your answer
How did you find out about the Explore program? *
From a friend / Referral name
Please let us know the name of the person or organization that referred you to Groundswell so that we can thank them!
Your answer
Tell us a little bit about yourself: what do you want us to know? *
Your answer
What do you hope to achieve through this program? *
Your answer
Groundswell is guided by values of social, environmental and economic justice. We believe everyone can contribute to building a better world. How do you envision creating a more just, healthy and happy world through your work? *
Your answer
Please check the boxes you can answer YES to. *
Required
If you'd like to share any comments on the above question, please do so here.
Your answer
Do you intend to continue onto the 5 month Groundswell Build program?
Explore participants get first dibs on a seat in Build, which you can reserve with a $300 refundable deposit. Enrolment in Build is contingent on your participation in the Explore program, when we decide together if it's the right fit and the right time for you to Build your social venture.
Groundswell offers financial aid for tuition in partnership with Vancity. If the cost of this program is a barrier and you’re interested in financial aid, let us know. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Groundswell. Report Abuse - Terms of Service