NetSquared Local Application

NetSquared seeks volunteer organizers who are passionate about promoting the use of technology for good. Please review the NetSquared Local contract before submitting this form.

If there’s already a group in your area, we ask that you explore co-organizing an existing group before starting a new one. Consult the map of existing groups.

First Name: *

Last Name: *

Email: *

Organization:

Position/Title:

Location

City:

State/Province:

Country:

When do you plan to hold your first event?:

Please provide one endorsement. Include that person’s name, title and contact information. Alternatively, you may point us to endorsements on your LinkedIn page. :

How will this NetSquared Local group strengthen your community's capacity to use technology for good?:

Disclaimer: *

I agree to facilitate NetSquared Local groups that are free and open to all interested community members, to focus on topics at the intersection of technology and social impact, and to represent the goals and values of TechSoup Global in my community.

Affirmation: *

I agree to the specific commitments outlined in the NetSquared Local Contract.

Leave this field blank:

Word verification: * (verify using audio)

Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.