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Kapor Center Sign Up Information

Last Updated:

5/13/2020

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First Name, Last Name

Your Address

Home Address, City, State, Zipcode

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to Kapor Center.

Raw Data Registration Structure Registration Form Text

Registration

Phone

First name

Last name

Home address

City

State

Zipcode

State

Please select...

Legal Status

Please select...

State

Please select...

Describe the event, estimated number of attendees, and how funds will be used. Also describe how your event will include and engage populations underrepresented in technology and how it will further tech equity and inclusion. Is this a free event?

Yes

This sponsorship helps to increase the number, participation, and/or support of underrepresented people of color in:

Computer Science Education

Tech Career Readiness

Tech Career Advancement

Tech Entrepreneurship

Inclusive Tech Ecosystems

DEMOGRAPHIC INFORMATION Please indicate if your organization fits any of the following categories (check all that apply)

At least 50% of staff comprised of people of color

At least 50% of Board comprised of people of color

Executive Director or CEO is a person of color

This grant request focuses on communities of color

Data Name	Data Type	Options
Phone	Text Box
First name	Text Box
Last name	Text Box
Email	Text Box
Home address	Text Box
City	Text Box
State	Text Box
Zipcode	Text Box
State	dropdown	Please select...
Legal Status	dropdown	Please select...
State	dropdown	Please select...
	option	Describe the event, estimated number of attendees, and how funds will be used. Also describe how your event will include and engage populations underrepresented in technology and how it will further tech equity and inclusion. Is this a free event?
	option	Yes
	checklist	This sponsorship helps to increase the number, participation, and/or support of underrepresented people of color in:
	checklist	Computer Science Education
	checklist	Tech Career Readiness
	checklist	Tech Career Advancement
	checklist	Tech Entrepreneurship
	checklist	Inclusive Tech Ecosystems
	checklist	DEMOGRAPHIC INFORMATION Please indicate if your organization fits any of the following categories (check all that apply)
	checklist	At least 50% of staff comprised of people of color
	checklist	At least 50% of Board comprised of people of color
	checklist	Executive Director or CEO is a person of color
	checklist	This grant request focuses on communities of color