Member Application
BTM - Bank To Make The World A Better Place: Approved Members will receive //1K Omniversal Dollars (OMDs)
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First Name *
Middle Name
Last Name *
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Diversity Statement
The BTM seeks to demonstrate its core values of transparency and inclusivity, inviting a diverse set of members as well as board advisors to guide in building leadership and select set of board directors. Initial members are also invited to serve on a diverse board committee or "diversittee" to share insights and recommendations, and will also be paid in omniversal currency (//) a.k.a. OMDs for their time and commitment to further our broad mission to help make the world a better place. The following questions are designed to ensure that we are tracking and advancing inclusion and transparency. We also value your privacy, so please be assured that your personal information will be kept confidential and only used for diversity metrics and tracking.
Would you be interested in serving on a BTM diversittee or as a board advisor?
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If you are accepted as a member of BTM, how are you willing to have your name and likeness shared?
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Mailing Address *
City
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LinkedIn Profile URL
Title/Self Description
Company/Organization/Affiliation
Personality Type(s), e.g., Myers Briggs, DISC, etc.
Gender/Pronouns
Race/Nationality
Age (Birthday-MM/DD/YYYY)
Industry Experience - List one or more industries with a number next to each one for year(s) of experience
Functional Experience - List roles you have held with a number next to each one for years of experience
Total years of work experience
Highest Level of Education
Income Level
How do you want to see the world become a better place?
What issue(s) do you care about? (Please list each issue with a number next to it, with 1 being that you only care about the issue a little  bit, and 10 being a top priority or highly important to you)
Any Other Comments or Information You Would Like to Share as Part of Your Application to Join the BTM
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