JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Copy of CAPACITATE Co-Lab Registration 25 April 2023
CAPACITATE USER FORM
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Company Name
*
Your answer
Contact Number (include country code)
*
Your answer
Country
*
Your answer
City
Your answer
What best describes the location where you live
Urban Area - can refer to towns, cities and surburbs
Rural Area - can refer to a small village or somewhere with no other house nearby
Peri-Urban - describes the space between urban and rural areas
Clear selection
Nationality
*
Your answer
Formal Education
Primary School
Secondary School
Diploma
Bachelor's Degree
Honours Degree
Master's Degree
Doctrate
Clear selection
Industry
Solar
Wind
GeoThermal
Hydrogen
Gas
Electric Vehicles
Other:
Clear selection
Services Provided
Your answer
Years in Operation
Not started
Less than a year
1 to 2 years
3 to 5 years
5 to 10 years
More than 10 years
Clear selection
Number of Employees
1
2 to 5
5 to 10
10 or more
Clear selection
Ownership (select applicable)
Majority Youth Owned (35 and younger)
Majority Woman-Owned
Majority Veteran-Owned
Majority Black (Minority) - Owned
Other:
Revenue
0 to $49 999
$50 000 to $99 999
$100 000 to $149 999
$150 000 to $199 999
$200 000 to $299 999
$300 000 to $399 999
$400 000 to $499 999
$500 000 to $599 999
Other:
Clear selection
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
