Personal Information
Are you a member of a Native American / First Nations / Indigenous Tribe or Nation? The content of this field is kept private and will not be shown publicly.
If you selected "Yes," please indicate which tribe you are enrolled in. The content of this field is kept private and will not be shown publicly.
If you are a member of the Citizen Potawatomi Nation, please insert the family name you are descended from. This helps us sort the responses by tribal members from others. (We still want individuals from other communities to participate in our polls and comments) The content of this field is kept private and will not be shown publicly.
Please complete the following information to create a user account on the site. Note that although no identifying information is collected, a valid email address is required. You will be sent an email to verify your new account registration. Please complete the instructions in the email to activate your account. I am asking information about Native affiliation to validate responses in the surveys and polls I've created on the site as a way to gather opinions from members of my tribe, the Citizen Potawatomi Nation. Thanks for your understanding and cooperation. If your account appears to belong to a spammer, it will be deleted without notice. If I delete your account, but you aren't a mean spammer, feel free to send me a message using my contact form.
Account information
Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.
A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.