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Apply to Part of a Black Gov Tech Committee

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Which committee are you interested in joining?   *
Required
First Name  *
Last Name *
Are you in the Washington, D.C. Metro Area?  *
If not, which city and state? 
Company *
Job Title  *
Email *
Where would you like to help?  
 *
Are you part of your company's ERG (Employee Resource Group)?  *
What university did you attend (if applicable)?   *
What was your degree in?  *
Education level *
What interests you about BGT (Black Gov Tech)?  *
What would be your ideal position with BGT? *
Are you able to meet monthly?  *
Are you interested in joining the team outside of the committee?  *
Mentorship pairing interest? *
Do you identify as an executive? *
Are you interested being on the Executive Advisory Board? *
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