NDRC Masterclass - Registration

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Which best describes you?* This field is required.
Startup Hub / Coworking Space
Corporate
Government / Civil Service
Investor
Professional Services
Programme Manager / Innovation Lead
Educational Provider
Student
Startup
Other
4
Company* This field is required.
5
Your role in {company}* This field is required.
6
Which county are you based in?* This field is required.
Please Select
Please Select
Not based on the Island of Ireland
Antrim
Armagh
Carlow
Cavan
Clare
Cork
Derry/Londonderry
Donegal
Down
Dublin
Fermanagh
Galway
Kerry
Kildare
Kilkenny
Laois
Leitrim
Limerick
Longford
Louth
Mayo
Meath
Monaghan
Offaly
Roscommon
Sligo
Tipperary
Tyrone
Waterford
Westmeath
Wexford
Wicklow
7
Where did you hear about this course?* This field is required.
Dogpatch Labs website
NDRC website
News Article
Newsletter
Referral
Social Media
Women Entrepreneurs Network
Word of Mouth
Other
8
What is one skill/learning you would like to get from this Masterclass?* This field is required.
9
Data Privacy (https://ndrc.ie/privacy-policy)* This field is required.
I agree to the sharing of my data with NDRC
10
Are you attending this Masterclass virtually or in person?This Masterclass will be hybrid, offered virtually through Zoom and also in-person at PorterShed a Dó (15 Market St, Galway, H91 TCX3).
In-person
Virtually
11
Do you have any accessibility requirements?* This field is required.
Please Select
Please Select
No
Yes
12
Please specify your accessibility requirements* This field is required.
13
Edition
Masterclass #1
Masterclass #2
Masterclass #3
Masterclass #4
Masterclass #5
Masterclass #8
Masterclass #9
Masterclass #10
Masterclass #11
Masterclass #12
Masterclass #13
Masterclass #14
Masterclass #15
Masterclass #16
Masterclass #17
Masterclass #18
Masterclass #19
Masterclass #20
Masterclass #21
Masterclass #22
14
Registration type
Pre-registration
Pre-registration
15
GenderPlease specify your gender pronouns.
Woman (she/her)
Man (he/him)
Non-binary
Other
Prefer not to say
16
Racial/Ethnic Identity
Asian
Black
Irish Traveller
Latin American
Middle Eastern
White
Other
Prefer not to say
17
Do you have a disability (visible or invisible)?
Yes
No
Prefer not to say
18
Would you like to join NDRC's Mailing List to stay in the loop about future Masterclasses and programmes?* This field is required.
YESNO
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