Join a CIVIC Team

Warning!  Filling out this form may result in and an unpredictable series of strange and nerdy events

Name *
Please leave your phone number and we'll give you a call to talk about the projects.
Feel free to express your dreams in practical terms or mythical terms.
Your city <3
Your title, company, and a brief description of what you do. If you're in transition, that’s fine, tell us about what you were doing and where you might want to go.
Skills you want to contribute, and the thing that would make you feel most accomplished at the end.
If you could spend time learning a new skill set from an expert, what would make you most happy? Or, do you have ideas for approaches in your field of expertise you want to see become a reality?
Let us more about why you're motivated to contribute and what you'd like to gain from your experience.
1 = I don't know what I'm doing | 10 = Gandalf Status
1 = Paralyzed with fear | 10 = Master of Metamorphosis
1 = I don't have a pulse | 10 = Data Disneyland