NEIC Admin Team Form
NEIC is looking for new Admin Team members to help with goal setting, strategy, and tactics.

Your personal details, including your name, email, and location will not be shared with any third-party without your permission. 
First name *
Last name *
Email address *
I consent to receive emails about NEIC events. You may withdraw this at any time in the future.   *
ZIP Code *
State of residence *
Do you currently have the means, time, and funds to travel in person meetups (likely in Southern New England on weekends) *
Please indicate your interests within the NEIC Admin Team: *
Required
Please paste the URL of your Facebook or Linkedin profile. (This is so we can vet everyone's identity) *
Are you willing to communicate regularly (5x a week) on Discord? *
What is your discord username?
How much time per week, roughly, would you be able/willing to dedicate to the movement?  *
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