Participant Information Form
The information collected on this form will only be used for internal Solid State purposes only. 

Transparency and Access:
Only Solid State Co-directors, and WeiChun (Onboarding staff) has access to this information.

Using and Disclosing Personal Information:

1. We will only use or disclose member personal information where necessary to fulfill the purposes identified at the time of collection [or for a purpose reasonably related to those purposes] such as:

  • To communicate news, updates, and changes regarding the organization; 

  • To reach the appropriate people in cases of member emergency;

2. We will not use or disclose member personal information for any additional purpose unless we obtain consent to do so;

  • In the case of medical or safety emergencies where we are unable to obtain your consent, we take responsibility to share necessary personal information when lawfully or medically required;

3. We will not sell member lists or personal information to other parties;

For more information regarding our privacy policy refer to our Personal Information Protection Policy here.

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First Name *
Last Name *
Pronouns *
Date of Birth *
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Personal Email *
Phone Number *
Home Address
Street Address *
 City
 *
Postal Code
 *
Do you agree to the terms and conditions highlighted in the "Cohort Agreement", "Participant Agreement", and "Community Guidelines" forms?
 *
Which cohort(s) are you involved with? If you are a staff not working with any cohort, please list your staff title.
 *
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Sign your initials here to indicate you've completed this form and agree with it
 *
Date Signed *
MM
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DD
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YYYY
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