Pledge Now - Stage 2

New Coalition Member Data

We’re so glad you’ve joined us as a Coalition Member. So we can accelerate your membership please answer a few questions which you’ll find underneath. We use your responses to look at how we can best support you and what you could potentially offer to other members. Just so you know, we’d like to include the information you provide to support FutureDotNow marketing and communications. If you’re happy for us to do this you can confirm this at the end of the form. The form will take approximately 8 minutes to complete.

FutureDotNow Pledge - Stage 2

Step 1 of 4 - Contact and Organisation Details

1: Contact and Organisation Details
First of all we just need some general information; this just helps us find you in our systems. Please provide a few quick details on who you are and your organisation
* Required
Your name:*
First Last
Your organisation:*

2. What is your organisation looking to achieve through digital skills?
We'd like to understand a little bit more about what you're looking to achieve on digital skills.
Do you offer digital solutions? If yes, what are they?
What are you looking to achieve from becoming a member of FutureDotNow?*
Do you have any ideas on how your organisation could help FutureDotNow and/or other members?*
This could be sharing tools and insight with members or even potentially secondments opportunities within FutureDotNow.

3: Provide core member data
In this short section we'd like to capture a few more contact details of individuals in your organisation. Please make sure you've spoken to each person you provide details for, and that they are happy for us to have these.

This section isn't mandatory but it really helps us engage with you in a better way.

Essentially we'd like to know who to contact for PR/Comms. and who will provide your data returns; so we can evidence the impact we are all making.

If this person is you then please just leave this section blank.

- PR/Comms. Contact: the individual in your organisation who can provide information on PR and Comms. queries.

- Data Returns Contact: this person will be who we speak with to provide data linked to your pledge.
PR/Comms contact details
The individual in your organisation who can provide information on PR and Comms queries.
Name:
First Last
Role title:
Email address:
Enter Email Confirm Email
Data returns contact details
This person will be who we speak with to provide data linked to your pledge.
Name:
First Last
Role title:
Email address:
Enter Email Confirm Email

4: Confirmation
Finally we'd just like to confirm a few things with you before you click submit.

We are committed to protecting and respecting your privacy, and we’ll only use your personal information to administer the products and services you requested from us.

By checking boxes below, you consent to allow FutureDotNow to store and process the personal information submitted above to provide the content requested.
* Required
I agree to allow FutureDotNow to store and process my personal data:*
- Yes
From time to time, we would like to contact you about our products and services, as well as other content which may be of interest to you. If you consent to us contacting you for this purpose, please tick the box below:*
- Yes
- No
You may unsubscribe from these communications at any time.
I consent to the information I have provided here to be used in FutureDotNow's marketing and communications initiatives:*
- Yes (but please check with me first)
- No

Pledge Now – Stage 2

FutureDotNow Pledge - Stage 2

Step 1 of 4 - Contact and Organisation Details

1: Contact and Organisation Details

2. What is your organisation looking to achieve through digital skills?

3: Provide core member data

PR/Comms contact details

Data returns contact details

4: Confirmation