Ellementa Gathering Organizer Application
We're so excited to know that you'd like to start an Ellementa chapter! Please fill out the form below so we can get to know you better. Once we review the form we will call or email you with next steps!
What is your first name? *
What is your last name *
What is your email address? *
What city are you in? *
What state are you in? *
What is the best phone number to reach you at? *
How did you hear about Ellementa?
What is your interest in cannabis wellness?
Why do you want to be an Ellementa Organizer?
Why would you be a great Ellementa Organizer?
What is your current occupation or vocation?
Please link to your Linkedin profile
If you don't have linkedin, please upload your resume
Please list links to your social media profiles
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