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Submit Community Contact Information

Experience Grand Rapids' mission is to strengthen the region’s economic vitality and quality of life by marketing Grand Rapids/Kent County as a preferred visitor destination. Community members can assist us by sharing information that helps us identify leads and improve visitor services. Please consider filling out the form below – your input can also benefit you, your colleagues and your community!

About You

The following information is requested so that we can have an up-to-date background of your professional status in our records and the ability to contact you if needed.

First Name*:

Last Name*:

Preferred Pronouns:

Preferred Pronouns

He/his/him
She/her/hers
They/Them/Theirs
Other
Prefer not to answer

If other Pronoun, please share::

Company:

Title:

Email*:

Primary Phone:

Cell:

Address:

City:

State:

Zip Code:

Who invited you to be a Community Contact?*:

Person's name and/or organization.

Topics

The topics listed below are to help us understand what areas you feel comfortable and knowledgeable talking about. These could be related to your profession, background, affiliations, etc. Select all that apply.

Specify Knowledgeable Topics:

If a topic wasn't included in the list, please include it here.

Professional Affiliations

Outside of your organizational responsibilities, we are interested in knowing what other affiliations you may be a part of. Select all that apply and specify.

Professional Affiliations:

Select all that apply.

Professional Affiliations

Club
College/University
Corporation
Faith
Military
Organization
Other (Specify)

Names of Affiliations:

Please share the names of the affiliations here.

Demographics

We host numerous groups that either focus on or are made up of people of many different cultures, religious associations and other diverse backgrounds. If comfortable, please share the following background information.

Specify Race/Ethnic Background:

Specify Sexual Orientation/Attractionality:

Specify Religion/Sprituality:

Permission

Contact me before sharing my contact information for any reason related to Experience GR's work.*:

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