BSIC Working Group Half-Day Registration Form--
Event Timing: Tuesday, June 11th 2016, 8:30am-1:00pm
Event Address: Microsoft Center 11 Time Square New York, New York 10036
Contact us at TBoykin@virtual.com
Sign in to Google to save your progress. Learn more
Email *
Name *
Email *
Organization *
Link to Your Organization's Website
Select Working Group(s) You Wish to Join   *
Required
Briefly describe your work/interest in Blockchain as it relates to social impact *
Where are you or your organization on your Blockchain journey?   *
What is the core challenge you are facing relating to your work/interest in Blockchain for social impact? *
What do you hope to gain or accomplish from your BSIC Working Group? *
Would you be willing to have a 15min call with BSIC staff to better assess your needs and goals? If Yes, please select your availability  time below and we will follow up with a scheduling email
Tuesday, May 28th
Wednesday, May 29th
Monday, June 3rd
Tuesday, June 4th
Wednesday, June 5th
Thursday, June 6th
Friday, June 7th
9am-11pm EDT
11pm-1pm EDT
1pm-3pm EDT
3pm-5pm EDT
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy