Name
*
First Name
Last Name
Title
*
Company / Organization / Institution Name
*
Day
*
Month
*
Year
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Region
*
----Choose One----
Africa
Australia/New Zealand
Canada-Eastern
Canada-Prairies
Canada-Western
East Asia
Egypt
Europe
Gulf/GCC
Latin America
N.Africa/Levant
South Asia
U.S.-East Coast
U.S.-Midwest
U.S.-West Coast
Email Address
*
Phone
*
LinkedIn
Facebook
Instagram
Please check if you are:
Profession / Area of Expertise
*
Would you be willing to conduct a training or webinar in your area of expertise?
Would you be willing to participate in a podcast or an online Q&A in your area of expertise?
Would you be willing to provide 1:1 advice or mentorship to a RISE Entrepreneur?
Are you a researcher or graduate student who would like to be involved with RISE Research (i.e. the "Think Tank" arm of RISE)?
Are you interested to participate in or learn more about our events in your home community (in Egypt or globally)?
Are you interested in becoming a RISE Global Ambassador?
Global Ambassadors help organize local communities and make connections with the RISE global community.
(Note: We will keep all applications to be considered at new intake cycles)
Describe why you would like to be a RISE Global Ambassador
What sector(s) are you most interested in working on? (Select all that apply)
Are you interested in joining the LEEP for Collaborative Impact Community?
Please describe why you would like to join the LEEP Community. What would you like to share with the community, and what would you like to gain?
Are you interested in collaborating with us as an institutional partner?
Please describe how you would like to collaborate with us as an institutional partner.
In what area(s) are you most interested in participating?
How did you find out about us?
--Choose One--
Through a friend/relative/colleague
A RISE team or board member
In an event
Website
LinkedIn
Facebook
Instagram
Twitter
Other
