Inclusion Task Force

1. Name *
2. Phone Number *
3. Email *
4. Role at Stomping Ground? * Board MemberStaff DirectorProducerShow DirectorInstructorStudentPerformerInternVolunteerOther
5. Demographic information is being requested to ensure the most diverse representation as possible; however, these are not required fields.
6. What is your gender identification
7. What is your age? under 1818-2526-3536-4546-5556-6565+
8. What is your race?
9. What is your ethnicity?
10. Do you identify as LGBTQIA+? yesno
11. Why do you want to be a part of this task force?
12. How much time do you have to commit to the task force?

* Required