Start Networking Registration

Privacy Note: Unless permission is explicitly granted by you, the information collected in this form is only accessed by Start Proud and is not shared outside the organization. Your information is voluntarily collected to better understand the audience we serve in order to improve future Start Proud events and initiatives. Photographs and videos taken at this public event will be used in Start Proud and partner organization print and online publications. For more information please see our Privacy Policy.


Basic Info



Name:*
E-mail:*
E-mail confirmation:*
When are you available for Start Networking meetings?*
Why do you want to join Start Proud's Networking Program?*
How did you hear about Start Proud's Networking Program?*

Demographics & Professional Experience



How much work experience do you have?*
What option best describes the industry or sector you are primarily employed in?*
What organization is your primary employer?*
What option best describes your occupation?*
What is your job title?*
In which province is your primary residence?*
What is your age in years?*
How do you currently describe your gender identity?*
Other gender identity
Do you consider yourself to be:*
Other sexual orientation
Which ethnicities describe you? Select all that apply:*
Other ethnicity:
Do you have a long-lasting or chronic condition (physical, visual, auditory, cognitive or mental, emotional, or other) that substantially lmits one or more of your major life activities (ability to see, hear, or speak; to learn, remember or concentrate)*
Have you ever served in the Canadian Military?*

Matching Preferences



Please indicate how important is it for you to be matched with someone a similar demographic as you for each of the following attributes?

Same Work Experience:*
Same Industry:*
Same Occupation:*
Same Location:*
Same Age:*
Same Gender Identity:*
Same Sexual Orientation:*
We noticed your preference to be matched with someone of the same demographic is very important. Please specify why:

Hobbies and Interests



Please select some traits that describe you well. We will try to match you with people who have similar interests to you.

Choose as many traits as you like:

Professional Development and Coaching



Which of the following skills do you want to develop and which can you offer someone? We will try to pair you with individuals who can offer the skills you want, and vice versa.

Want:
Offer:

By clicking Submit you authorize Start Proud to contact you by email regarding the Networking Program.