Safe Space Advisory Board Application
New members will be considered whenever there is a vacancy or a term is wrapping up.
Sign in to Google to save your progress. Learn more
Email *
What is your name? *
What is your affiliation with the Third Coast Community? *
What is your phone number? *
What interests you about joining the Safe Space Advisory Board? *
Do you have any particular skills or work/life experiences that would aid you in serving as a Safe Space Advisory Board member? (facilitation, legal, advocacy, anti-harassment, trauma-informed, etc.) *
Can you commit to meeting quarterly in person and participating in monthly phone calls? *
Are you willing to sign a NDA (non-disclosure agreement)? A lot of the work we do on the Safe Space Advisory Board must be kept confidential in order to protect our community members' privacy. *
Is there anything else you would like us to know?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Third Coast Comedy, LLC. Report Abuse