My Membership Profile

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[tab title=”ROOTS Profile Information “]

[button link=”update-personal-information” icon=pencil]Edit My ROOTS Profile[/button]

[civicrm component=”profile” gid=”24″ mode=”view”]

[button link=”update-personal-information” icon=pencil]Edit My ROOTS Profile[/button]

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[tab title=”Public Profile Information “]

[button link=”update-public-profile” icon=pencil]Edit My Public Profile[/button]

[civicrm component=”profile” gid=”24″ mode=”view”]

[button link=”update-public-profile” icon=pencil]Edit My Public Profile[/button]

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[tab title=”Account Details”]

[button link=”change-password” icon=pencil]Change password[/button]

Upload profile photo

Social Media Links

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DESIGN NOTE: This information will be formatted into a user-friendly form.

Change Password (instructions)

Update Banner Photo: (instructions)

ROOTS Profile Name:

Update Thumbnail Photo:  (instructions)

About You:

Personal Info (optional. Each member gets to choose what information they want on their public page and what information should be visable to members-only)

Personal Info

Birth Date _________ (clear)

Gender

Female Male Transgender (clear)

Do you identify as Lesbian/Gay/Bisexual/Transgender/Queer?

Yes  No (clear)

Do you identify as having any Disabilities? Yes

Please Describe________

Race/Ethnicity

(check boxes – multiple may be chosen)

Multi-Racial

Black/African American/African decent

American Indian/Native American/Indigenous

Latino/Latina/Hispanic

Asian American/Pacific Islander

White/European American/European decent

Arab/Arab American

Additional/Other ____________________________

Artistic Disciplines

(check boxes – multiple may be chosen)

Arts Administration

Cultural Organizer

Theater

Dance

Performance Art

Movement

Music

Spoken Word

Hip Hop

Vaudeville

Writer

Visual Art

Film/Video

Photography

New Media

General Administrator

Presenter

Multidisciplinary

Appreciative Audience Member

Technical

Teacher

Other____

Top 3 Issue Areas

(check boxes – 3 may be chosen)

African-American

Accessibility/Disability

Choice

Communication

Community Building

Cultural Preservation

Culture

Discrimination

Education

Elders

Environment

Equity

Immigration

Jobs

Latino/Latina

LGBTQ Issues

Native People’s Rights

Oppression

Police Brutality

Political

Prisons

Religion

Rural

Urban

Violence

War

Women’s Issues

Youth

Other _____

Organization(s):
Add Organization with URL (optional)

Current Project:

Current Collaborators
Looking for Collaborators? Yes or No

Photo/Video/Audio Share Gallery
(instructions for upload & tagging)

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Follow me on Social Media
(instructions)

 

Alternate ROOTS supports the creation and presentation of original art that is rooted in communities of place, tradition or spirit. We are a group of artists and cultural organizers based in the South creating a better world together. As Alternate ROOTS, we call for social and economic justice and are working to dismantle all forms of oppression—everywhere.