Page 1 of 1

FTW General Reserve-List

Note: This form is for the general reserve-list. If you want to apply for the OG, please fill out the separate form linked on our website.

What is your name / alias?

*

Which country are you usually based in?

*

What is your ETH wallet address? (this is needed so we can put your address on the reserve-list for NFT minting)

*

If you don't have an ETH address yet, please create one on Metamask. It only takes 2 minutes.

If you're open to, please share your main professional social account/s (Twitter/Linkedin/Website)

If you have one, what is your Discord handle?

*

Do you have deep experience in any of the following?

Untitled multiple choice field

A

Future of Finance and Financial Systems

*

B

Future of Work & Education

C

Future of Media, Creators & Communities

D

Future of Sustainable Living & Ecosystems

E

Future of Health, Wellness & Longevity

F

None of the above

Have you worked or been active on projects in the following areas before?

Untitled checkboxes field

DAOs / De-centralised communities

*

Venture Capital or Start- up investing generally

Venture DAO/s

Web3 Protocols / Dapps

Community management / growth

High-growth start-ups

Start-up Incubator / accelerator

Diversity, equity & inclusion

Mental health, coaching, wellness, psychology

Human capital / Organisational wellness

Please comment on your relevant experience from the previous questions

Do you currently actively invest in start-ups as a VC, angel investor or other kind of vehicle?

Untitled checkboxes field

Angel investing as an individual

*

Angel investing via syndicates

Venture Capital GP

Venture Capital employee

Family office manager / owner

Venture DAO member

LP in a venture fund or similar

Start-up accelerator / incubator

Not yet, but I plan to invest my own money in start-ups

None of the above

What are your 'big dream' ambitions for your life and legacy?

Which of your talents would FTW most benefit from? What would you like to contribute to?

Untitled checkboxes field

Community building

*

Marketing / PR

Start-up pipeline / Scouting / Deal Analysis

Diversity & inclusion expertise

Sector expertise (finance / future of work / web3 / health tech / media etc.)

Start-up / Founder Coaching

Art / design / graphics / product design

Web3 / DAO Ops experience

Tokenomics design / financial modelling

Other - please comment at end

Why do you want to be a FTW DAO member?

*

I confirm that I can easily afford the advertised mint price and that I will be able to pay the mint price to mint if I am selected as an OG member of the DAO

Untitled checkboxes field

Confirmed

*

No, I would need a partial or full financial scholarship funded by the community to afford membership

Do you identify as part of an over-looked / under-hired / minority group in tech?

Untitled multiple choice field

A

Yes

*

B

No

C

Do not wish to answer

Do you give us permission to share your form information with our core team and DAO members to support selection activities? (all of whom have signed NDAs)

Untitled multiple choice field

A

Yes

*

B

No

Other Comments?