Please fill out this form if you are interested in launching a chapter in your area. This does not guarantee a chapter, but will put you on the list for consideration as we continue expansion.
Name of Co-Lead (all chapters must have a co-lead) *
City (what city would you like to create a chapter in?) *
Are you and your co-lead members or are you planning on becoming a member of Black Women Talk Tech? *
Have you or your co-lead attended a Black Women Talk Tech event before? *
Do you or your co-lead have chapter or event organizing experience? *
Do you or your co-lead have fundraising or sponsorship experience? *
How many hours per month can you dedicate to this? *
Have you identified at least 5 other black women founders who are interested in joining this chapter? * *
Fundraising/Grant Contact: Jennifer Parker
Your First Name (required)
Your Last Name (required)
Your Email (required)
Company Name (required)
Please select ONE RSVP option below.
RSVP YESRSVP No
Will you bring someone with you to the reception?
What is the name and email address of your guest?