Black In Robotics Interest Form

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This form is for people to join BiR membership. Membership is free for individuals.

Email address *

Whats your name? *

Which institution or organization do you currently work for? *

If you feel comfortable sharing, what is your LinkedIn Public Profile URL?

If you feel comfortable sharing, what is your Twitter handle?

Do you identify as Black or as an Ally? *

I identify as Black

I identify as an Ally

Which parts of the community would you like to be added to? (Select all that apply) *

Slack

Google group (email list)

List of roboticists in acadmia

List of roboticist in industry

Required

Would you be interested in helping organize/run Black in Robotics?

Yes

Maybe

Clear selection

In what region of the world are you? *

Submit

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