True Colors United - True Fellowship Acceptance

What name would you like to be listed by in publication?*
First Last
This is the name we will always use when communicating with or about you.
What is the legal name listed on your government ID?*
What is the gender marker listed on your government ID?*
What is your Social Security Number?
What is your date of birth?*
MM slash DD slash YYYY
What is your mailing address?*
Street Address City State ZIP Code

We will need to pay you! Which address should we send a check to?
Do you have any dietary restrictions?*
- Yes
- No
Please list any dietary restrictions you may have.*
Pursuant to American with Disabilities Act, do you require and aids or services?*
- Yes
- No
Please describe the aids or services you require:*
What's the best way to get in touch with you?*
What is your phone number?*
What is your email address?*
What is your Twitter handle?
What airport is most convenient based on where you live?*
What is your favorite color?
Terms and Conditions
Acceptance of Terms*
Each True Fellow will be paid a nominal fee for their time in New York City for the Training Retreat, along with a $5,000 nominal fee for the work on their Fellowship at-large. This fee will be paid contingent upon the following:
- - Weekly direct check-ins with TCF staff liaison
- - Monthly group check-ins with TCF Fellowship team
- - Completed tasks according to schedule (needs better words)
- - Completed Fellowship (multimedia) Impact Report for sponsors (TBD)
- I accept
- I decline
Photo/Video Release*
I hereby give my consent for the True Colors Fund to use my photograph and likeness in all forms and media for advertising, trade, and any other lawful purposes (in print and/or electronically).
- Yes, I give photo/video consent
- No, I do not give photo/video consent
Signature

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Phone
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True Fellowship Acceptance

Terms and Conditions