Create Your Profile

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Create Your Profile
Fill out the following questions.
* Indicates required question
Name *
Your answer
Title *
Your answer
Organization *
Your answer
Type of Organization *
Required
Mission *
Your answer
Email *
Your answer
Phone *
Your answer
Home Region *
The region you would like to represent and lead iTi initiatives.
Your answer
Regional Partners *
The regions where you already do business and want to connect with local partners who represent and lead iTi initiatives.
Your answer
Regions of Interest *
The regions where you would like to develop business and want to connect with local partners who represent and lead iTi initiatives.
Your answer
Social Impact *
Brief descriptor of what specific problem you seek to impact and what kinds of partnerships you are seeking to form through iTi?
Your answer
Please do join us for the Impact Innovation Forum at Austin City Hall on March 11 from 2 pm till 4 pm.
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