SEEDS Alumni Network Registration Form
Form Assembly Contact
Contact for Experience Cloud
SEEDS Membership Yearly Category
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Your Information
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Membership Options
Which Membership would you like to sign up for?
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Tier 1 - Founding Member
Tier 2 - Sustaining Founding Member
Tier 1: Founding Member
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Option A: $179
Option B: $279
Option C: $399
Tier 2 - Sustaining Founding Member
Please select...
Option A: $579
Option B: $879
Option C: $1,199
Payment Information
Membership is automatically renewed every year
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Public Profile information
Pronouns (we honor infinite pronouns/no pronouns)
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They/them
Other
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Social Media
Find SEEDS on Facebook, Instagram, LinkedIn and Twitter! Please provide links to your user profiles to connect with other SEEDS community members and your fellow training alumni. Sharing your social media is an optional additional way to connect.
LinkedIn
Instagram
Facebook
Twitter
Region
Please select...
Bay Area
Central Coast
Central Valley
East Coast
Midwest
Northern California
Other
Sacramento Region
Southern California
The South (Southern United States)
West Coast
SEEDS Affiliation (select all that apply)
SEEDS Core Staff
SEEDS Practitioner
SEEDS Volunteer
SEEDS Board of Directors
SEEDS Community Member
SEEDS Certifications (select all that apply)
SEEDS Certified Conflict Transformation for Movement Leaders Practitioner
SEEDS Certified Facilitation Practitioner
SEEDS Certified Mediator
SEEDS Certified Restorative Justice Practitioner
Conflict Transformation Expertise (select all that apply - this will be used to create practice groups)
Alternative Dispute Resolution (ADR)/Mediation
Education (K-12, higher education)
Consulting
Conflict Transformation
Diversity, Equity, Inclusion, Belonging (DEIB)
Facilitation
Multilingual
Movement Spaces
People, Culture, Climate
Organizational effectiveness
Human Resources
System Impacted Spaces
Affinity group matching: Help create affinity spaces! Select all that apply.
BIPOC
LGBT+
Disability/Neurodivergence
White accountability
Are you available for speaking engagements (conference speaking, panels, workshops, etc)?
Please select...
Yes
No
What is your public speaking experience level?
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Very experienced
Somewhat experienced
Not yet experienced
What, if any, types of educational credit do you provide? Select all that apply.
Educational credit for teachers
Educational credit for social work/therapy
Educational credit for attorneys/mediators
Are you offering or seeking paid work? Select all that apply.
I am offering paid work to others
I am seeking paid work opportunities
Consultancy contact information
SEEDS shares your consultancy as a member benefit. Share contact details for your consultancy practice here.
Website
Email
Phone Number
Why did you join SEEDS Alumni Network?
Private profile information - visible only to SEEDS staff
Personal Identities (please select all that apply)
Black
Indigenous
Multi-racial (BIPOC mixed)
Person of Color
White
Multinational
Person with a disability (visible, or nonvisible)
Neurodivergent (ex: autistic, ADHD, aphant, dyslexia, dyspraxia)
Agender
Bisexual
Gay
Lesbian
Pansexual
Gender non-conforming
Non-binary
Transgender
Access Needs (please select all that apply)
Audio description (visual support for auditory content such as closed captions)
Assistive listening device (amplification of sound, headphones, microphones)
Subtitles (visual support for auditory content)
Screen reader plain text needs
Verbal description of visual materials (slides, charts, images, videos)
Alternative text (audio support for visual content)
Additional processing time (polls, being called on, time allotted to respond, advance copy of educational content such as slides)
Sign-Language (interpreter)
English-Language support (verbal translation)
English-Language support (written translation)
Low-stimulation, or privacy spaces (lactation, meditation/prayer, anxiety regulation)
Refrigeration for medical purposes (insulin, lactation)
Gender neutral/all gender bathroom
Multiple scent sensitivity health impact
Modification of exercises involving physical activity
Motor/mobility needs (use of assistive walking device, braces, cane, wheelchair)
Seating arrangements (chairs for events that involve standing)
Dietary Restrictions (please select all that apply)
Celiac
Gluten-free
Diabetic
Vegan
Vegetarian
Severe Allergen
Income
Household size (# of people supported entirely by your income, including yourself)
Please select...
1 person
2 people
3 people
4 people
5 people
6 or more people
Please ONLY select income level for your household size (as selected above)
Yearly income - household of 1
Please select...
Earn up to $12,760
Earn $12,761-$27,450
Earn $27,451-$45,700
Earn $45,701-$73,100
Earn $73,101-$85,000
Earn $85,001-$99,000
Earn $99,001-$150,000
Earn $150,001-$200,000
Earn above $200,000
Yearly income - household of 2
Please select...
Earn up to $17,240
Earn $17,241-$31,350
Earn $31,351-$52,200
Earn $52,201-$83,500
Earn $83,501-$97,151
Earn $97,152-$113,153
Earn $113,154-$171,443
Earn $171,444-$228,591
Earn above $228,591
Yearly income - household of 3
Please select...
Earn up to $21,720
Earn $21,721-$35,250
Earn $35,251-$58,750
Earn $58,751-$94,000
Earn $94,001-$109,302
Earn $109,303-$127,305
Earn $127,306-$192,886
Earn $192,887-$257,182
Earn above $257,182
Yearly income - household of 4
Please select...
Earn up to $26,200
Earn $26,201-$39,150
Earn $39,151-$65,250
Earn $65,251-$104,400
Earn $104,401-$121,395
Earn $121,396-$141,390
Earn $141,391-$214,227
Earn $214,228-$285,636
Earn above $285,636
Yearly income - household of 5
Please select...
Earn up to $30,680
Earn $30,681-$42,300
Earn $42,301-$70,500
Earn $70,501-$112,900
Earn $112,901-$131,279
Earn $131,280-$152,902
Earn $152,903-$231,669
Earn $231,670-$308,892
Earn above $308,892
Yearly income - household of 6
Please select...
Earn up to $35,160
Earn $35,161-$45,450
Earn $45,451-$75,700
Earn $75,701-$121,150
Earn $121,151-$140,872
Earn $140,873-$164,075
Earn $164,076-$248,598
Earn $248,599-$331,464
Earn above $331,464