Diversability Leadership Collective - Sliding Scale Membership Application
Thank you for your interest in being part of the Diversability Leadership Collective. If you are experiencing financial hardship, and feel excited to contribute to the Diversability Leadership Collective, we welcome you to apply.

As a part of our review process, we prioritize those who are disabled and experience the compounded effects of oppression due to being members of the BIPOC, LGBTQIA+, and other historically excluded identities. If this is you and you would like to indicate any of this on your application, please do so.

If you are looking for free peer support and community, please join our Facebook community at http://bit.ly/diversabilitycommunity

Learn more about the Diversability Leadership Collective at http://diversability.mn.co

If you have questions about this form/membership, please reach out to us at hello@mydiversability.com
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Email *
What's your full name? *
What are your pronouns?
Where are you located (city, state, country)? *
Do you have a disability (includes chronic illnesses and mental health conditions)? *
Note that sliding scale memberships are reserved for disabled community members. If you are not disabled, please join at http://diversability.mn.co
Share more on other historically excluded identities you might hold (i.e. BIPOC, LGBTQIA+, etc.)
Are you a member of the free Diversability Facebook community? *
If yes, how long have you been part of the Facebook community and what do you feel you have contributed/gotten out of the community?
How have you been involved with Diversability in other ways?
Examples: attended a Diversability event, follow/engage with Diversability's content on social media, etc.
What are you looking to get out of the Diversability Leadership Collective? *
How do you feel you might be able to contribute to the Diversability Leadership Collective? *
Examples: attending events, engaging with other community members, and sharing the community with your network, etc.
What can you share about your financial situation that might help us understand why you need support in paying for the community? *
We offer a partial scholarship in the form of a sliding scale to the Diversability Leadership Collective. What are you able to afford on a monthly basis?
Membership to the Diversability Leadership Community is currently $68/month. Note that it is free to be part of our Diversability Facebook Group: http://bit.ly/diversabilitycommunity
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If the above sliding scale options don't work for you, what are you able to afford on a monthly basis (in USD)? 
Share links to your website/social media
How did you hear about the Diversability Leadership Collective? *
If it was social media, please be specific and share which account or post (if possible).
Is there anything else you would like to share with us?
A copy of your responses will be emailed to the address you provided.
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