Owner Application

Please fill out this application if you would like to join us as an owner. Consumer owners only need to fill out this form. Worker Owners should fill out a Skills Survey prior to completing this form.

Name(Required)

First Middle Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

For which ownership type are you applying?(Required)

Consumer

Worker

Acceptance of our Cooperative Agreement and the Cooperative Principles(Required)

I have reviewed the cooperative’s principles and the ChiCommons Cooperative Agreement and by accepting this agree to abide by all of them.

newsletter signup

Please sign me up for the ChiCommons Newsletter (maximum once per month)

Alternative: