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Welcome to Invest Together Women-Led Impact!
Please fill out the form below so we have all information we need on file.
What is your first name?
*
What is your last name?
*
What is your email?
*
What is your phone number?
*
What is your LinkedIn?
*
Which of the following best represents your racial or ethnic heritage?
*
At Spring, we're committed to creating a diverse and inclusive community. An essential way to understand how well we're doing that is to understand the diversity of our community!
Indigenous (e.g. First Nations, Métis, Inuit, Native American, Aboriginal or Torres Strait Islander, Māori)
Black (e.g. African, Caribbean, North American, Black British)
East Asian (e.g. Chinese, Japanese, Korean)
Hispanic or Latinx
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
South Asian (e.g. Bangladeshi, Bhutanese, Indian, Nepali, Pakistani, Sri Lankan)
Southeast Asian (e.g. Cambodian, Filipino, Indonesian, Laotian, Malaysian, Singaporean, Thai, Vietnamese)
White (e.g. European, North American, Pakeha)
West Asian (e.g. Iranian, Afghan, etc.)
Multiracial/biracial
Other
Prefer not to disclose
What is your nationaility?
*
Please Select
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Other
We'd like to give you space to share your gender identity.
With which gender do you identify?
*
Please Select
Male
Female
Non-Binary
Transgender
Genderqueer
Genderfluid
Agender
Two-Spirit
Prefer not to Disclose
Self-Describe (not listed)
We'd like to use the most respectful language when addressing you.
What are your pronouns?
*
Please Select
she/her
he/him
they/them
Other
Prefer not to say
he/they
she/they
What is your birth year?
*
For reporting purposes only - all ages are welcome!
If you feel comfortable sharing any of the follow identities you hold to help us ensure we're providing opportunities to underrepresented communities, please do so here:
*
Person with visible or invisible disability
Newcomer to Canada
2SLGBTQIA+
Person living in a remote/rural community
Other
None
Prefer not to say
In which city are you located?
*
And in which province or territory?
Please Select
British Columbia
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
Newfoundland and Labrador
Nova Scotia
Prince Edward Island
Yukon
Northwest Territories
Nunavat
New Brunswick
USA
None
And in which country?
*
Please note that investors in the program can only be located in Canada or the United States.
Please Select
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
St Kitts & Nevis
St Lucia
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan, China
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
What is your profession?
*
What is your annual income?
*
Please Select
<$100,000
$100,000-$200,000
$200,000-$300,000
>$300,000
Are you an accredited investor?
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To be an accredited investor, you must meet ONE of the following:
- Individuals who have at least $1 million in financial assets (cash and securities) before taxes. (In calculating an individual's financial assets, any outstanding loans incurred to acquire those assets must be deducted.)
- Individuals whose net income before taxes exceeds $200,000 (or $300,000 combined income with spouse) in each of the two most recent years and who reasonably expects to exceed that net income in the current year
- Individuals who have at least $5 million in net assets
Read the definition of an accredited investor
here
.
Yes
No
How experienced are you with angel and/or impact investing?
*
1 - No Experience
5 - Experienced
Please Select
1
2
3
4
5
Please select the option that most represents you: "I consider myself..."
*
Please Select
An entrepreneur or business owner
A member of a family office or investor group
Part of a company or organization
A private Investor
Other
What do you want to learn about impact investing?
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How did you hear about the Invest Together in Climate Innovation program?
*
Email campaign
Facebook
Instagram
Internet Search
LinkedIn
Recommended by Another Organization
Spring Alumni / Friend
Spring Event / Webinar
Spring Newsletter
Spring Staff
Spring Website
Word of Mouth
Other (Please Specify)
If you were referred by a person/organization, please state their name.
Submit