Co-Tenant Application

Thank you for your interest in joining Innovation Works! In submitting an application, you are confirming your commitment to our community values.

Please Note: when submitting your application, please only press the "submit" button once; it may take up to 10 seconds to fully process, and you will see a confirmation screen when it's completed.

Membership Package *

First Name *

Last Name *

Email *

Email Location *

Pronoun(s)

e.g., she / he / they

Name of Organization, Company or Project *

Please enter your first and last name in this field if you are not representing an organization, company or project

Your role in the organization, company or project *

e.g., founder, executive director, employee, volunteer

Sector Type *

Company Logo

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png (150x150 px).

Is this organization/does this organization operate a social enterprise?

Yes

Social enterprises are nonprofit, for-profit and cooperative organizations who use earned revenue to create positive community impact.

Description or Mission Statement *

Street Address *

Street Address Line 2

City *

Province *

Postal Code *

Organization Email *

Phone Number *

Website

Facebook

Twitter

Why do you want to join Innovation Works? *

How did you hear of Innovation Works? *

What cause does your work address? *

select all that apply

How do you want to change the world? *

Preferred Start Date *

Other Employees

Please list staff & volunteers joining you

First Name

Last Name

Job Title

First Name

Last Name

Job Title

First Name

Last Name

Job Title

First Name

Last Name

Job Title

First Name

Last Name

Job Title

First Name

Last Name

Job Title

PLEASE NOTE: When you are finished please press the submit button once. In some cases, it may be take up to 10-15 seconds to process.

After submitting, please check your email for a confirmation message acknowledging receipt of your application. If this message does not arrive after 15 minutes, please reach out to digital [at] innovationworkslondon.ca for assitance.

Leave this field blank

Abuse
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