Builder Network: Intake Form

The Builder Network is a global community of builders on Base. Being a builder can take many forms, including: founder, developer, creator and community organiser.

Being an active member of the network grants you access to specific community forums, programs and support.

Please use this form to introduce yourself and help us onboard you into the network. If a question doesn’t apply, you can leave it blank.

We'll then reach out with next steps.

* Indicates required question
Email *
Your email
Name
Please provide your full name (first and last) *
Your answer
What sort of builder are you and/or how would you like to contribute to the network?
Please select only the tracks that apply; you can choose multiple options
 *
Required
Are you currently building on Base and/or active in the community? *
Choose
Yes
No, but I would like to get involved
Location *
Choose
East Asia & Pacific
Europe & Central Asia
Latin America
Middle East & North Africa
North America
South Asia
East Africa
West Africa
What is your Discord username?
Please provide your Username, not your Display Name. (e.g., @xenbh)
Your answer
What is your Telegram username?
Please provide your Username, not your Display Name. (e.g., @XenBH)
Your answer
What is your Twitter (X) username?
Please provide your Username, not your Display Name. (e.g., @jessepollak)
Your answer
What is your Warpcast username?
Please provide your Username, not your Display Name. (e.g., @jessepollak)
Your answer
What is your GitHub link?
Please provide your GitHub link, if applicable. (e.g., https://github.com/wbnns)
Your answer
Do you have any relevant links you'd like to share?
(e.g., project links, websites, portfolios, previous contributions)
Your answer
Do you have a Base core team member contact?
Please provide a Telegram or X (Twitter) username, if applicable. (e.g., @XenBH)
Your answer
What is your Basename?
Learn more about Basenames. (e.g., tokki.base.eth)
Your answer
Wallet Address
Please provide your full Ethereum wallet address (starting with 0x). While this is optional, not including it may make it more difficult to automatically add you to the network.
Your answer
Do you have any additional comments or information you'd like to share with the team?
Optional for any further details you wish to provide
Your answer

The details you provide in this form will be utilized to evaluate your eligibility for Builder Network Membership. This information will only be stored for as long as necessary for the purpose for which it was collected. Your privacy is important to us, and we implement appropriate safeguards designed to protect your data. For more information about how Coinbase handles your personal data, please read our Privacy Policy.

Privacy Disclaimer: Please do not provide any sensitive or private personal information (e.g., social security numbers, account information, user IDs, passwords etc.) using this form.

A copy of your responses will be emailed to the address you provided.
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