University Blockchain Society Membership Interest Form
Help us get to know you!
Sign in to Google to save your progress. Learn more
Full Name *
Email Address (University Email Preferred) *

Which campus are you from? 

 *

Are you interested in crypto/blockchain research? Please write down any thought you might be interested in, it's doesn't need to be a specific idea, we just want to know your thought?

Current Degree Level *
Expected Graduation Year *
Major *
How would you rate your current understanding of blockchain?

Don't worry if you're a beginner! No prior knowledge is required to join. We value your curiosity and passion more than your current expertise. *
Beginner/No knowledge
Expert/Highly proficient
Do you have any prior coding experience? (e.g., Python, Java, HTML/CSS, Solidity, etc.)

If yes, please briefly describe what you have worked on or built. If you have no experience, simply skip this section!
Which topics/areas in blockchain interest you most?

Select all that apply. If you aren't familiar with these terms yet, that is totally fine! 
How did you hear about us? *
Are you interested in exploring a leadership or committee role within the society? *
Would you like to join the club?

 *
Next Steps
Thanks for applying! We will reach out to your email shortly with more info.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms