Hub Membership Application
Sign in to Google to save your progress. Learn more
First name *
Last name *
Email Address *
Company Name *
Website URL *
Which membership are you applying for *
Which best describes your position?
*
Please describe what your tech company does *
*
Include a short description of what kind of tech business this is and what it does (under 200 words)
Which of these best describes the stage of your company? *
*
Describe your grow and hiring plans for next 12 months *
For how long could you see yourself based at the Hub? 
*
Which of these services would benefit you most? *
Required
What other help do you think the Hub could provide your business to help it grow? *
Describe how you could add value to other Members through collaboration and/or mentoring?
*
Please add a short bio about yourself and any team members who could be co-located at the Hub 
*
Bio or link to Linkedin or personal website
Would you be prepared to host local work experience students needing to gain some digital/tech exposure?
*
Would you be prepared to host internships for relevant local senior school students/graduates? 
*
Would you contribute to relevant skills development programs run at the Hub?
*
Would you contribute to relevant mentoring programs run at the Hub?
*
When would you like to start your Membership?
*
Anything else you think we should know about you?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy