Membership

New Member Applications

To join the Caribbean Diaspora for Science, Technology & Innovation, submit the full application form below. Even though you must select a membership type below, the system will allow you to submit your application before paying for membership. So go ahead and fill out your membership application now and pay later if you wish. Alternatively, if you would prefer to submit the shorter form along with a resume or curriculum vitae, then fill out the short application form instead. Once your application has been approved, you will be notified by e-mail and your information will be added to the database.

Basic Info

TitleFirst NameMiddle NameLast Name
E-mail Address
Re-enter your e-mail address
Type of Membership
Year of Birth
Gender Male Female
Select your current resume or CV

Current Address

Address Line 1
Address Line 2
City
State/Province/Region
Zip/Postal Code
Country
Phone Number

Education

Please enter your tertiary degrees with the highest attained first.
Field (e.g. Economics) Degree (e.g. BSc) Institution Year Earned

Professional History

1) Please list your most recent job positions with the most recent one first.
Occupation/Position Employer Number of Years Employed

2) Please list any professional associations or guilds you are a member of.

3) Please list any professional awards or patents you have been granted.

4) Please list any professional skills, certifications or training you have.

5) Please list your areas of interest.

Caribbean Connections

1) What is your primary connection to the Caribbean ?

I was born in

I am a citizen or resident of

At least one of my parents is from

Other

2) If you have left the Caribbean, how many years have you lived outside of the Caribbean ?

3) If you have left the Caribbean, do you plan to return to the Caribbean ?

Yes

Maybe

No

In about years

Working Groups

What working groups would you be interested in participating in ?

Privacy Options

Select this if you do not want your entry (name, city and profession) displayed on the web list
Select this if you do not want your contact information made available to other members