StartupWA Affiliation - Application Form
As a representative body established to champion, advocate and advance WA’s growing technology startup industry, one of StartupWA’s roles is to highlight the contributions of meetups groups, events and programs, co-working spaces, investors and industry partners.

StartupWA’s new Affiliation program is designed to formally recognise these partners and their roles, drawing on your years of experience and industry expertise to guide and inform policy and industry development - for the community, by the community.

To qualify as a StartupWA Affiliate, your organisation must:
* Run meetups / groups; events; working space; an incubator, accelerator or similar program; be a group of investors, advisors, industry body or similar;
* Have an office, activities or representatives based in WA (or intend to do so); and
* Focus on digital technology, innovation and entrepreneurship.

To apply, please complete the Application Form below. If you have any questions, please email - info@startupwa.org

Email address *
Type of Organisation *
Which best describes you (select one)
Name of Organisation *
Your answer
Website *
Please provide URL for your primary website / online presence
Your answer
Facebook
Please provide URL for your Facebook page (if you have one)
Your answer
Twitter
Please provide URL for your Twitter profile (if you have one)
Your answer
Other social media profiles
Feel free to add URLs for your any other accounts / online presence you maintain (eg. Linked In, Angel List, Techboard, etc)
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of StartupWA. Report Abuse - Terms of Service