Community Member Registration
We are excited to have you join us! Tell us a bit about yourself and your interest in Our Collective. As a member, you will be able to send emails to other members via our Google Group (
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Preferred Email *
This email is for Our Collective members will use to get in contact with you. It can be a work or personal email.
Back-Up Email
We request this email in case there is a change in the preferred email (ie: job transition, org acquisition)
Organization/ Company *
You can also let us know if you are "Self Employed" "Not Employed" and/or  "In-Transition"
Estimate the size of your company.
Clear selection
What is your current role? *
Name of Employee Resource Group (ERG) that you're currently a member.
Only if applicable.
Please indicate your other professional networks.
ie: Diversity Advocates, NSBE, SHPE, CBE etc.
Does your ERG promote the advancement and inclusion of Black and Latinx tech talent? *
In what ways have you engaged with ERGs?
How did you hear about Our Collective? *
Please provide the link to your LinkedIn profile. *
We are interested in learning how to best serve members' needs through programming and leveraging the Our Collective network. Please tell us why you are joining and what you'd like to gain as a member.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kapor Center. Report Abuse