Executive networking by Obsidi Application

Welcome to this application for Executive networking by Obsidi.

Obsidi by BPTN has created Executive networking by Obsidi to build community and engage with leaders & executives to provide opportunities to diversify your network.

Once you complete this application, we will contact you with the next steps.

Please note to participate in Executive networking by Obsidi, you must reside in North America.

If you have any questions please reach out to program administrator at networking@bptn.com

Thank you for your interest in Executive networking by Obsidi, an intentional way of diversifying your network.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your email address?

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* 4. Province/state

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* 5. Do you identify as being part of the Black community?

Yes

Wish not to disclose

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* 6. Gender Identity

Female

Gender nonconforming

Male

Non-binary

Prefer not to say

Transgender

Two-spirited

Other (please specify)

Executive networking by Obsidi Application

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. What is your email address?

Question Title

* 4. Province/state

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* 5. Do you identify as being part of the Black community?

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* 6. Gender Identity

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* 7. What best describes your role?

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* 8. Industry?