Apply for Membership Name * First Name Last Name Pronouns Email * Phone * Country (###) ### #### Birthdate * MM DD YYYY Occupation, Job Title, & Description of Role * Social Media Handle * The Most Critical Part What social or creative contributions will you bring to Inochi? * What are you passionate about? * What drives your ambition? * Do you have any passion projects or creative projects we should know about? * Why do you want to become a Member of Inochi Tea House? * References & Connections Provide two current member referrals (optional) Inochi Code of Conduct, Community Confidentiality and Member Policies * *the policies above will be emailed to you for your review I have read and accept Inochi’s Code of Conduct, Community Confidentiality and Member Policies. Thank you for applying to become a member with us. You are currently on the waitlist. Our membership committee reviews new applicants quarterly. If you are selected, your acceptance letter will be sent via email.