Thank you for beginning the process of becoming a member of Infamous Mothers. Below is a registration form. Please answer it in it's entirety to the best of your knowledge. All information you provide is confidential, and is meant to help us provide programming, training and support that best reflect our membership population. We want to know who you are so that we can create an experience that best speaks to you.

Name *
Name
Race *
About Your Mothering
There are two major components to being an Infamous Mother: the challenge or stigma you face around being a woman from mothers from the margins our society and the successes you face as such a woman. This is the part of the process where you share with us how you identify as mother. It is also the part where you identify the aspect of your mothering that society judges or questions the most. Your information is confidential, and it will be used mainly for us to offer you programming, training and support that best speaks to how you identify as members.
Mothering Identity *
Please indicate how you identify as a mother, right now, at this moment.
What Makes You an Infamous Mother? *
Every member of our community has two things in common: 1.) mothering and 2.) a challenge surrounding her mothering. Click the box that best describes the challenge you face as a mother.
About Your Work
This is a membership where the personal and professional meet. To provide you the best programming, training and support possible, we ask that you share with us information about who you are as professional who also mothers.
Professional Identity *
Please check the box that best describes how you identify professionally/publicly.
A quick survey about your *
A quick survey about your
Below is survey meant to help us better understand what you hope to gain professionally from this membership. Please, take the time to respond so that we can offer you the best programming, training and support possible.
I hope this membership can help better help me balance my home/work life.
It is important to me that this membership helps me find more professional peers.
It is important to me that this membership provides professional networking opportunities.
It is important to me that this membership connects me with other people who can mentor and sponsor me as a professional.
I want to grow professionally. I am relying on this place to show me how.
Organization
This section focuses on your organization/academic institution. Everything you include here is confidential and is meant to help us provide professional programming, training, and support that reflects your industry and workplace environment.
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Organizational/Academic Survey *
Organizational/Academic Survey
Below is a survey meant to help us better understand whether or not you believe your organization/academic institution can benefit from us bringing our services to them. Of course, your responses are confidential.
My workplace/academic institution has other mothers who can benefit from this membership.
My workplace/academic institution can benefit from being trained on how to better support mothers who are professionals.