Apply for C100 Membership: Join Canada’s Top Tech Network

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Basic Information

First Name*

Last Name*

Primary Email*

Alternate Email (i.e. work)

City of Residence*

State/Province (e.g.: CA)*

Country of Residence*

Country*

Mailing Address (please enter the address that is best for receiving packages)

Street Address*

Mailing City*

Mailing State/Province (i.e. CA)*

Mailing Postal Code / Zip Code*

Mailing Country*

Phone Number ( mobile or place to contact you) *

Professional Information

What is your primary role? (Note: applicants not in one of the below categories may not be eligible for C100 Membership at this time. If you lead an agency, consultancy, or other professional service organization, please consider joining C100's Partner Program) *

Do you also actively invest ( as an angel, an angel partner, or through a fund) outside of your primary role? Please only select yes if you are an accredited investor as per SEC.*

Yes

Job Title*

Company/Organization*

LinkedIn*

Tell us about yourself! Who you are, a short bio, and some of your proudest career accomplishments. *

What are you looking forward to bringing to the C100 Membership community? Tell us why you're interested in supporting C100 as a Member, how you'd like to use your Membership, and where you would like to "pay it forward" in the community.*

What are your non-work passions?

Anything else you'd like to share?

Sponsor Information

In order to be considered for membership, you must be sponsored by at least one active Member or Charter Member.

Please list your sponsor names and emails below. To make for a fast and easy process, you should obtain the support of your sponsor before submitting your application. Once validated, your membership will be activated. Note: This process may take several days or weeks.

Don’t know any members yet? No worries! You may still submit an application form and find a sponsor later.

Please note, having a sponsor does not guarantee acceptance.

Sponsor 1

Sponsor 1 First Name*

Sponsor 1 Last Name*

Sponsor 1 Email*

Sponsor 2

Sponsor 2 First Name

Sponsor 2 Last Name

Sponsor 2 Email

Payment Information

Once your application has been approved, you will receive an email with a secure link to submit your payment information for your membership dues of $650 USD/year.

You will not receive this link until your listed sponsor has approved your membership application and C100 has approved your application for eligibility.

I understand that if my application is approved I will be charged $650/year*

Membership Principles

By applying to C100's Membership, you are agreeing to the following Membership Principles*

Hands-On Support for Canadian Entrepreneurs and Rising Leaders: As C100 members, we hold unique and in-demand expertise. The success of the network rests on the nexus of our skills and the needs of those we support. The more we put into supporting the community, the more value we will gain as well.
Active Participation: We commit to being active participants in C100's mission and programs. It is through convening the community that serendipitous relationships can be made, existing ones deepened, and the network strengthened.
Accountability and Responsiveness: We value responsiveness and accountability in other members, and therefore we uphold the same standards for ourselves.
Referrals: We make best efforts to refer new members, entrepreneurs and other partners who fit with C100's mission.
Referrals: We make best efforts to refer new members, entrepreneurs and other partners who fit with C100's mission. Professional Conduct: We maintain the highest standards of conduct and engage in C100 events and the broader community at large in a professional manner, acting with integrity and respectfulness when interacting with all staff, members, guests and the general public.
Referrals: We make best efforts to refer new members, entrepreneurs and other partners who fit with C100's mission. Non-Solicitation: We refrain from proactively soliciting our services, products or employment with other members unless invited or prompted to do so.

C100 boasts a talented, dynamic and committed membership. By becoming C100 members, we are committing to serve Canadian entrepreneurs and the global Canadian tech community, to uphold C100's values, and to work together with fellow members to advance the cause.

Membership Principles Agreement

I have read and agree to conduct myself in accordance with the C100 Membership Principles*

C100 MEMBERSHIP APPLICATION

Basic Information

Professional Information

Biographical Information

Sponsor Information

Payment Information

Membership Principles