The Civtech Group
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Name
Personal Email
Who referred you?
Current Institution & Role
Tell us a bit about yourself.
If you could solve any challenge, what would it be and why?
Where do you see yourself in 15 years?
Why do you want to participate in The Civtech Group?
I'd like to participate in (select all that apply)
The Boot Camp
Learn to build a venture, organization, movement, or apply Silicon Valley methods to leadership. 5 weeks, part-time (5 to 8 hours per week), remote, small-batch cohorts with other rising leaders.
The Workshop
90 minute overview of what we cover in the Boot Camp.
A Mentor Session
20 minute office hours session with a Silicon Valley expert.
LinkedIn or website (optional)
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