Do you defy a stereotype?

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VOLUNTEER NOMINATION FORM

Do you or someone you know have a story that will help others better understand the humanity behind the labels and stereotypes we hold? If so, we encourage you to consider joining us in our efforts to build a positive framework for challenging prejudices through one on one dialogue. Fill out the application below, and we will contact you about the possibility of being a story in our collection.

To learn more about the Human Library project, visit www.humanlibrary.org

First Name *

Last Name *

Email Address *

Phone Number *

Why would you like to volunteer as a human book?

What qualities do you have that would make you a good human book?

Please provide us with some examples of prejudices and stereotypes you have experienced in your life:

What title would you select for yourself?

Have you participated in a Human Library event?

Yes

Are you available to attend our event from from 11 a.m. to 3 p.m. June 27?

Yes

Are you available to attend a human booktraining/orientation from 6 to 8 p.m. April 16?

Yes

If you are selected, may we use your name, photographand story in promotional materials?

Yes

Submit

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