Fairfield CoLab Membership Application

Name *

E-Mail *

Mailing Address *

Employer? *

Briefly describe the type of work you will be doing in the CoLab *

Describe your work habits (ie. Does noise bother you? Is your work quiet? Do you talk on the phone a lot?) *

How many hours per week do you think you’ll be in the CoLab and what hours of the day? *

What appeals to you about being a member of the CoLab? *

Briefly describe whether or not you expect clients to visit you in the CoLab? If so how many/often? *

Do you have any concerns about a shared work environment?: *

How Did you hear about the CoLab?: * Select OneFacebookWalked-byNewspaperFriendOther

Do you have any questions or is there anything else you want to tell us?