B.O.I.N.K. Guest Presenter Application

Please fill out the fields below to reflect your interest in acting as a presenter, educator, or facilitator for events with B.O.I.N.K. LLC. Part of the information collected is used for vetting purposes to help keep our community and staff safe.

Before proceeding with this application, please review:

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The information eneter below is confidential and accessible only to the BOINK team.

First name

Last name

Email address

Phone number

Scene/Preferred Name

FetLife Profile URL

Pronouns

Experience & Background

Reference 1 Name & Relationship

Reference 1 Contact Info

Reference 2 Name & Relationship

Reference 2 Contact Info

Upload your file

Choose a file or drag and drop one here.

Community Experience

Are you aware of any Community Incident/Ban/Violation Reports filed against you?

Yes

If yes, please describe:

Have you ever been charged with or convicted of any physical, sexual, or other crime relevant to consent, personal safety, or community wellbeing?

Yes

If yes, please describe:

B.O.I.N.K. Guest Presenter Application

Before proceeding with this application, please review:

------

The information eneter below is confidential and accessible only to the BOINK team.

First name

Last name

Email address

Phone number

Scene/Preferred Name

FetLife Profile URL

Pronouns

Experience & Background

Reference 1 Name & Relationship

Reference 1 Contact Info

Reference 2 Name & Relationship

Reference 2 Contact Info

Upload your file

Choose a file or drag and drop one here.

Community Experience

Are you aware of any Community Incident/Ban/Violation Reports filed against you?

Yes

If yes, please describe:

Have you ever been charged with or convicted of any physical, sexual, or other crime relevant to consent, personal safety, or community wellbeing?

Yes

If yes, please describe: