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DYFUSION Country Representative Application Form
Lead the Web3 Creative Revolution in Your Region. Build, Educate, and Grow the DYFUSION Local Community
Full Name:
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Email Address:
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Phone Number (with country code):
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Telegram Handle:
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Country You Wish to Represent:
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City/Region you're based in
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Do you have experience in blockchain or Web3 community building?
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Do you have experience in blockchain or Web3 community building?
Yes
No
Briefly describe your relevant experience (roles, projects, organizations):
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Have you previously hosted events or webinars?
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Have you previously hosted events or webinars?
Yes
No
Links to past events attended/organized
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How many people can you confidently reach or mobilize in your first 30 days?
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How will you promote DYFUSION in your country? Describe your initial 30-day activation plan as Country Rep:
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Are you willing to provide weekly updates, progress reports and attend weekly calls?
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Are you willing to provide weekly updates, progress reports and attend weekly calls?
Yes
No
Will you be available to represent DYFUSION in interviews or media features locally?
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Will you be available to represent DYFUSION in interviews or media features locally?
Yes
No
Do you have a team or would you lead solo?
Untitled checkboxes field
Solo
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With a team
Preferred Contact Method for Follow-Up:
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Preferred Contact Method for Follow-Up:
Telegram
Email
Submit