Application Form

Please fill in this short form to join the Community of Change.

For any questions, please do not hesitate to contact us at welcome@communityofchange.xyz.

Email *
First name *
Last name *
Company *
Where are you based? *
Your current function(s) *
Required
Would you like to join as a partner or participant?
 *
What motivates you to join the Community of Change? *
To what extent are you leveraging emerging technology for sustainability? *
Additional comments
A copy of your responses will be emailed to the address you provided.
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