Name *

First Name

Last Name

Phone *

Country

(###)

###

####

Sector Focus or Expertise: *

Select all that apply

Circular Economy

Renewable Energy & Clean Tech

Real Estate / Properties

Sustainable Fashion

Finance & Investment

Technology & Digital Sustainability

Youth Empowerment / Education

Public Policy / Government

Gender Equality / Social Inclusion

Other:

How Would You Like to Be Involved? *

(Select all that interest you – we will coordinate with you directly.)

Coordinate or Contribute to Monthly Sustainability Insights (MSI)

Speak at a webinar, panel, or workshop

Mentor startups or young professionals

Organize or support a local sustainability initiative

Lead or support a Green Coffee Morning Session

Help with organization and be part of the Task Force Commitees

Help expand MEBAS’s network in your region

Represent MEBAS at local events or summits

Other:

Please share how much time you would like to dedicate per week (this helps us match opportunities to your availability): *

1–2 hours

3–5 hours

6+ hours (depends on the project)

Do you agree to maintain confidentiality of any non-public information shared within the Task Force? *

Yes

No

By submitting this form, I confirm that I have read and agree to the terms outlined in the MEBAS Ambassador Agreement (MoU), and I’m excited to contribute to MEBAS’s mission in a meaningful way. *

Yes, I agree.