Name *
Name
Phone Number *
Phone Number
Address *
Address
Please list the partner's contact information (name, email, phone, address) and Website or University & Major below:
Please provide a short description (250 words or less) about yourself as a designer and why you want to participate in Redress Raleigh 2017:
Please select the statement that best describes YOU: *
What type of support would be most beneficial to you? *
You can select more than one.
If selected for the program, do you (and your partner, if applicable) agree to participate to the best of your ability and commit to supporting the Redress Raleigh values? *