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Stevenage Innovation Circle
Membership Application
1. Personal Details
Preferred Communication:
Email
Phone
WhatsApp
2. Circle Options (Max 3)
Professional Carers
Political
Healthcare
Engineering
Business
Students & Youth
Creatives
Faith & Cultural
Residents
3. Motivation
Why join? (Select all that apply)
Skills Training
Community Support
Innovation Projects
Networking
4. Support Needs
Skills Training
Mentorship
Business Help
5. Skills & Experience
Willing to mentor?
Yes
No
Maybe
Contribution Areas:
Community
Technology
Business
6. Community Values (Choose 3)
Innovation
Inclusion
Respect
Transparency
Leadership
Collaboration
Desired Activities:
Training
Hackathons
7. Employment
Employed
Self-employed
Student
Other
Interested in opportunities?
Yes
No
8. Consent
I consent to be contacted.
I agree to the code of conduct.
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