New Member Application | Los Angeles Spoonie Collective

Your First Name *

Please share the first name you'd like us to refer to you by.

Your Last Name *

Please share the last name you'd like us to refer to you by.

Your Pronouns *

Please share the pronouns you use.

Your Email Address *

Confirm Email

Please enter your email address twice.

Your Phone Number

Please share your phone number if you feel comfortable.

Your Paylinks (Venmo, Cashapp, Paypal, etc. - for mutual aid disbursement purposes)

Please share your paylinks. If you don't have any, enter N/A.

Your Mailing Address

Please share your mailing address for care packages and other goodies. It's OK to use a friend's address or a PO box if you don't have a permanent address.

Do you identify as disabled or chronically ill? (select as many as apply)

Please select how you identify in terms of disabilities.

What is your racial/ethnic identity?

Please share your race/ethnicity (for internal demographic purposes).

What is your gender identity?

Please share your gender identity (for internal demographic purposes).

What projects are you interested in working on?

Please let us know what projects you might be interested in working on.

What needs do you have? (Select all that apply)

Please let us know which of these broad areas your current needs fall into (for our care web).

Tell us more about your needs:

This is a free space to share needs that you don't feel were appropriately addressed in the previous question.

How can you offer support? (Select all that apply. If you can do some things some days and not others, or if you can do everything with limitations, whatever your access needs for offering support, you can list them in the textbox that follows this question.) *

Please let us know which of these broad areas your current capacities fall into (for our care web).

Tell us more about the ways you can offer support:

This is a free space to share capacities that you don't feel were appropriately addressed in the previous question.

Would you like to be added to our email list?

Please let us know whether we should subscribe you to our newsletter.

LASC New Member Application

Fill out this form to apply for membership in the Los Angeles Spoonie Collective. Membership includes participation in our collective care web, so we’ll be asking you some questions about your capacities and needs. If you need assistance filling out the form, please email us at spoonies@spooniecollective.org or contact us on Instagram or Facebook.

We look forward to being in community with you!

LASC New Member Application

Get the LASC Newsletter

You've been subscribed!