JOIN

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

JOIN

Fill out this form to join the WiCyS Silicon Valley Affiliate.

First Name *

Last Name *

Email Address *

Please enter the email address you'd like to be added to our google group to receive updates.

Are you an active WiCyS Member? *

To be an active WiCyS Member you must have paid national dues for the current calendar year. Learn more: https://www.wicys.org/join

Yes

Years of Cybersecurity Experience *

0-5 years

6-10 years

11-15 years

16+ years

Current Undergrad Student

Current Graduate Student

Industry Alignment &/or Interest *

Feel free to select more than one.

Private Sector

Government

Research

Academia

Nonprofit

Other:

Required

Please select the areas where you'll attend events *

South Bay (e.g. San Jose/Mountain View/Sunnyvale)

Peninsula (e.g. Palo Alto/Redwood City/San Mateo)

San Francisco

Oakland/East Bay

Required

Are you interested in getting more involved? *

Yes, I'd like to join a committee

Yes, I'd like to lead a committee or take another leadership role

Maybe, I'd like more information about open positions and committees

Not at this time but I'm excited to attend events

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of WiCyS Silicon Valley Affiliate.