VT PoC Membership Application Form
We are in the process of building out a directory of VTPoC members (only accessible to view by our members) to better improve your networking and connecting abilities. Soon, this membership directory will be available on our website, where you can search by name, profession, college, etc. to find other Professionals of Color in Vermont.
If you are already a member but wish to provide more information so that other members can better network/connect with you, please use this form to do so! If you are not a member, please include your information so that we can better connect YOU with our resources.
NOTE: VT PoC will not sell or share your information to third parties. The information provided will be used for our member directory. You may request to have your information removed at any time by contacting
thefam@vtpoc.net
Sign in to Google
to save your progress.
Learn more
*Required
Email
*
Your email address
First Name
*
Your answer
Last Name
*
Your answer
Town
*
Your answer
Profession
*
Your answer
Racial/Ethnic Identity
*
Your answer
Gender Identity
Your answer
Please add your personal phone number if you would like text reminders about events and opportunities.
Your answer
We are developing our BIPOC Business Directory for member use. Please include your Business Website below so that we can add you to the list.
Your answer
What is the highest level of education you have attained thus far?
High school/GED
College degree
Professional or graduate degree
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside Vermont Professionals of Color Network.
Report Abuse
Forms
