Let’s Build

Name

Email Address

Age Age 18-24 25-34 35-44 45-54 55-64 65-74 75 and older

Your Favorite Social Media Platform & Your Handle

Are you a: Are you a: Content Creator Culture Curator Promoter DJ Bartender/Bar Manager Other

Which issue are you most interested in? Which issue are you most interested in? Criminal Justice & Policing Reform Job Opportunities & Economic Equity Healthcare & Health Equity Education and Student Loan Debt Climate Change & Environmental Racism Gender & Reproductive Justice LGBTQ Justice Elections & Civic Engagement Other

Why are cultural spaces/events important now more than ever?

In your own words, how are you/or how would you shift the culture forward?

Are you interested in learning more about Culture Shift Collaborative and maybe even co-conspiring with CSC in the future? Are you interested in learning more about Culture Shift Collaborative and maybe even co-conspiring with CSC in the future? Yes Let's Start Now Unsure Need More Info

Is there anything else you want to share with the Culture Shift Collaborative Team?

Is it cool if we follow-up with you via email or phone?