SECTION ONE: CREATOR INFORMATION

    Email for Mod Communications:*



    Creator Name:*



    I participated AS A CREATOR in MTH 2021:*YesNo




    Preferred Contact Method(s):*


    Other Method:



    YesNo


    Preferred Charities:


    Assistance Dogs InternationalAutistic Self Advocacy NetworkThe Bail ProjectCenter for Reproductive RightsChild's PlayClean Air Task ForceCoalition for Rainforest NationsDisability Rights Education & Defense FundGirls Who CodeGlobal Fund for WomenInnocence ProjectInternational Rescue CommitteeMédecins Sans Frontières (Doctors Without Borders)NAACP Legal Defense and Educational FundNational Asian Pacific American Women's ForumNational Network of Abortion FundsNative American Rights FundNatural Resources Defense Council (NRDC)ORAM RefugeeOutRight Action InternationalPartners In HealthRainbow RailroadRape, Abuse, and Incest National Network (RAINN)Refugee and Immigrant Center for Education and Legal Services (RAICES)Refuge PointRIP Medical DebtRoom to ReadThe Solutions ProjectSouthern Poverty Law Center (SPLC)World Central Kitchen



    GENERAL WORKS INFORMATION



    Links to My Existing Works:





    I DO want to create works that contain:*


    I DO NOT want to create works that contain:*