Refraction Membership Application

Welcome! We are excited to learn more about you and your organization.



























Our members are active and respected members of their communities. We ask that new members detail their professional membership or community association details below.













In our member organizations we look for a cultural fit and those interested in shaping as well as benefiting from our growing community.








Check as many as appropriate.







Check as many as appropriate.












Thank you for taking the time to complete our application, we appreciate your diligence. We will review and get back to you with your fit and next steps. If you have any queries at all please reach out to the team via Hello@refractionpoint.org or reach out to Rae, Nick or Jordan directly.


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