Explorer Membership Form
Welcome to the C3 Explorer program! When you join, you'll gain access to a community of nature lovers, volunteer opportunities, a discord server, a job board, and more! 

Complete this form for membership, or email c3@naturemuseum.org with any questions. 
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Pronouns
Select all that apply
Email Address *
johndoe@example.com
Phone Number
xxx-xxx-xxxx
Are you located within the City of Chicago? *
If you answered "No" to the previous question, please share the city you reside.
If you live in Chicago, please indicate the Community Area you live in. 
If you're not sure, please visit this link to find out.
Are you a C3 Leader? *
You're eligible to be an explorer whether you're already a leader or not! 
Interest
Urban farming/weatherization/composting/etc.
Which of our resources are you interested in? *
Select all that apply
Required
Anything you'd like to see from us?
Event ideas, specific workshops, etc. 
Thank you!
We're so excited for you to join our community. 
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside Chicago Academy of Sciences.

Does this form look suspicious? Report

Google Forms