First Name
Last Name
Email Address
Age Under 18 18-30 31-45 46-60 60+
Sex Male Female
Location Detroit Metro Detroit Michigan Outside of Michigan Outside of USA
Title/Affiliation
What type of engagement are you interested in? Social Life (bars, restaurants, DIA Fridays, Detroit CityFootball) Civic Involvement (politics, community organizing) Volunteering (soup kitchen, planting trees, mentoring) Community Connections (friends, networking, neighbors) Other
Volunteer opportunities of interest (optional) If you are interested in volunteering, tell us what kinds of things sound exciting! Soup Kitchen, Help for Homeless Civic, Political Greening, Planting, Urban Farms, Parks Education, Mentoring, Tutoring D:hive Art and Culture Health, Fitness, Wellness Other
Have you volunteered before? Yes No
What inspires you to engage? What does engagement mean to you? (Optional) Write a sentence or two on any of these subjects.