Jews In Technology Registration Form

1
Name* This field is required.
First Name
Last Name
2
Personal email* This field is required.
example@example.com
3
Work email
example@example.com
4
All States and Cities* This field is required.
5
Mobile Number (for WhatsApp)* This field is required. Will be used for WhatsApp invite. Please include your country code
6
How many years of experience do you have in Tech?* This field is required.
Please Select
Please Select
0 (Student)
1-3
3-7
7-10
10+
7
Job Title* This field is required.
8
Company URL* This field is required.
9
LinkedIn Profile URL* This field is required.Required for security vetting
10
Do you invest in startups?* This field is required.
No
Occasional / ad-hoc investor in startups
Actively investing in startups
11
Are you able to host a JIT event at your office?
Yes, I am the right person to talk to
No
Other
12
Name and WhatsApp number of a current member who referred you or someone who can vouch for you.* This field is required.
Full Name
Whatsapp (plesae include international dialing prefix)
13
Which membership option did you choose?Please select the same membership option chosen during the Stripe checkout
Premium membership
Should be Empty: