Personal Information
First Name *
Last Name *
Preferred Name
Email Address *
Phone Number
Personal and Location
Country of Residence *
Province/Territory/State
City
Are you currently based in Canada?
Yes
No
Professional / Academic Profile
Current Position/Title
Organization/Institution
Department/Unit
Sector *
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Academia
Industry
Government
Non-profit / Civil Society
Startup / Entrepreneurship
Student
Other
Highest Level of Education
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High School
Bachelor's Degree
Master's Degree
PhD
Professional Certificate
Other
Years of Experience
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Student
0–2 years
3–5 years
6–10 years
10+ years
Membership Category
Select your membership type *
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Student Member
Professional Member
Institutional Member
Honorary Member
Supporting Member
Institution/Organization Name *
Representative Name *
Representative Email *
Areas of Interest
Select all that apply
AI
ML
Data Science
Responsible AI
Policy & Governance
AI in Health
Climate & Environment
Education
Finance
Law & Justice
Entrepreneurship
Community AI Literacy
Other
Strategic Engagement Areas
Which BCAIS pillars would you like to engage with?
Talent Development
Research & Innovation
Industry Engagement
Public Sector & Policy
Community Engagement
Sectoral Applications
Events & Global Engagement
Digital Infrastructure
Contribution to BCAIS
How would you like to contribute? (Select all that apply)
Mentorship
Research collaboration
Event organization
Training & workshops
Policy development
Community outreach
Fundraising & partnerships
Startup support
Communications & media
Chapter development
Other
Governance and Leadership
Are you interested in serving in a BCAIS leadership or committee role?
Select...
Yes
No
Maybe in the future
Select areas of interest:
Board of Directors
Steering Committee
Activities Committee
Finance & Audit
Governance & Nominations
Global Partnerships
Advisory Council
Chapter Leadership
Chapter / Network Placement
Which community would you like to be connected with? (Select all that apply)
Provincial chapter
Academic network
Industry network
Startup network
Policy & governance network
Community network
Global Black AI Network
Not sure yet
Preferred province, region, or country
Motivation
Why do you want to join BCAIS?
What do you hope to gain from your membership?
Platform & Communication
Would you like access to the BCAIS digital member platform and AI knowledge hub?
Yes
No
Receive BCAIS newsletters, event updates, and opportunities?
Yes
No
Preferred communication channel (select all that apply)
Email
WhatsApp
LinkedIn
Slack / Community
Other
Code of Conduct & Declaration
I agree to uphold the mission, values, and principles of BCAIS, including equity, inclusion, accountability, transparency, community empowerment, and ethical and responsible AI.
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