Membership Application

Our goal is to bridge the technology gap and foster self-sufficiency in young people. The stronger our community, the better positioned we are to move the needle for diversity in tech and entrepreneurship. Thank you for joining us.

Important: Fields marked with * are required.

Your Privacy Matters: Rest assured, all information provided in this application will be kept confidential and will not be shared with any third party.

First Name:*

Last Name:*

Pronouns:*

Gender:*

Date of birth:*

City:*

Address:*

Country:*

Phone Number*

Programme:*

Email:*

Linkedin profile:(Optional)

Social profile:(Optional)

School:*

Major:*
Please choose the option closest to your major. If your minor is more relevant to this community, please select that instead.
If your major/mnior is not listed, this might not be the right community for you.

Education level:*

Graduation date:*

Quality of life:*

What are your short and long-term goals? Name one thing Code Savanna can do to help you achieve them.*

How do you plan to contribute to the community?*

As a member, you will be able to take advantage of the opportunities and services we offer,
but we are exclusively interested in welcoming underrepresented students that will make the community stronger.

Code of Conduct and Terms and Conditions

* Please read and accept the Code of Conduct and Terms and Conditions before submitting the form:

I have read and accepted the Code of Conduct and Terms and Conditions.

You must agree before submitting.