Organization Name
*
Primary Contact Name
*
First Name
Last Name
Type of Organization
*
Nonprofit
Faith Community
Educational Institution
Business with a Compassionate Mission
Other
Phone
*
Country
(###)
###
####
Email
*
Which of our core aims resonate with your work?
*
Checkboxes – allow multiple selections
Belonging Without Othering
Civic Participation
Cross-Difference Collaboration
Shared Power & Storytelling
All of the above
Other
How would you like to engage with The Change Lab
*
Checkboxes – allow multiple selections
Share your organization's information
Collaborate on a pop-up, training, dinner, or storytelling project
Help develop The Civic Impact Engine
IN-KIND Support
OTHER
Do you affirm the following values?
*
Welcome to The Change Lab. This agreement outlines the shared commitments and expectations between you (“Community Partner”) and The Change Lab, a project dedicated to building civic connection, shared understanding, and actionable pathways toward lasting social change.
By joining as a Community Partner, you agree to the following:
Our Shared Purpose
The Change Lab exists to nurture a national movement of people and organizations committed to bridging divides, addressing root causes of inequality, and co-creating a better future for all. As a Community Partner, you join a growing ecosystem rooted in civic imagination, collaborative action, and systems change.
We believe in starting from where we are, using what we have, and building from the ground up—with hope, humility, and accountability.
Community Values
As a Change Lab Community Partner, you commit to upholding and modeling our core values:
Belonging
We expand the circle of human concern and ensure everyone feels seen, heard, and valued.
Curiosity
We engage with openness and a willingness to learn from different perspectives.
Courage
We face complexity with honesty and are unafraid to challenge injustice or try new approaches.
Accountability
We honor our commitments, measure impact, and learn from outcomes—good or bad.
Collaboration
We share power, build trust, and design solutions together—especially across lines of difference.
Imagination
We believe a better future is possible—and work every day to make it real.
Your Role as a Community Partner
Be a Connector: Share ideas, insights, opportunities, and lived experience. The Change Lab is stronger when we learn from one another.
Engage Actively: Participate in pilot programs, contribute to conversations, or test new tools. Help shape and scale what works.
Share Credit and Responsibility: We succeed by lifting each other up—and by taking ownership when things need to improve.
Respect the Space and People: Whether virtual or in-person, we expect all engagement to reflect mutual respect, empathy, and care.
Terms of Partnership
This agreement does not establish a legal partnership or lease. Rather, it signifies your participation in a values-based network with defined activities, offerings, and opportunities.
Community Partnership may be revoked or paused if behaviors contradict the spirit or values of this agreement.
Your participation signifies that you accept and agree to the most current version of this agreement.
Effective Date
This agreement takes effect upon mutual acknowledgment by The Change Lab and the Community Partner. By participating in your first Change Lab project, conversation, or event, you affirm your acceptance of these terms.
Let us build something meaningful—together.
The Change Lab
Connection is the remedy. Action is the path.
YES
NO
Date
MM
DD
YYYY
How would you like to contribute to this partnership?
*
We believe cost should never be a barrier to connection, collaboration, or contribution.
That’s why The Change Lab offers a Pay What You Want partnership model.
Whether you're an under-resourced grassroots group, a community-focused business, or a well-funded nonprofit, you’re welcome here. Some partners give $1, some give $10,000, others give more — and many support in non-financial ways, like hosting gatherings, lending skills, or sharing their network.
You decide what’s possible.
Whatever you choose, you’ll be met with respect, curiosity, and the belief that we’re building something meaningful — together.
If you’d like to talk through what contribution looks like for you, we’re happy to have that conversation.
Financial Contribution
In-kind support (facilitation, space, volunteers, design, etc.)
Tell us more about your contribution
*
Is there anything else you'd like us to know?
Thank You
Once you submit this form, we’ll be in touch within a few days. In the meantime, thank you for showing up for your community — and for considering this shared path forward.
Questions?
Contact David A. Brown,
Director of Possibility
📧 hello@thechangelab.org
Thank You for Reaching Out! Your interest in partnering with The Change Lab means the world to us.
We’ll review your form and be in touch within a few days to connect, explore next steps, and share how we can build together. In the meantime, know this:
You’re already part of something. A growing network of people and organizations showing up for belonging, shared purpose, and civic possibility.
Got questions? Ideas? Just want to say hi? 📧 Email us anytime: hello@thechangelab.org
We’re glad you’re here.
— David A. Brown Director of Possibility The Change Lab