Name *

First Name

Last Name

Phone Number *

Country

(###)

###

####

Connection to the MENA region *

I was born there

My family is from there

I am/was based there

I’m currently doing/did/hoping to do business there

I don’t have a particular connection yet, but I’m joining Viaka to build one!

Contribution to the Community - How do you plan to contribute to the network? *

(e.g., mentorship, sharing insights, partnerships)

Mentorship for Founders

Investment Opportunities and Deal Flow

Sharing Industry Insights and Knowledge

Hosting Workshops or Webinars

Facilitating Introductions and Networking

Collaborating on Projects or Partnerships

Contributing to Thought Leadership (e.g., writing articles, speaking at events)

Offering Consulting or Advisory Services

Supporting Fundraising Efforts for Startups

Organizing In-person or Virtual Meetups

Providing Job Opportunities or Hiring Talent

Sponsorship of Events or Initiatives

What specific value or expertise can you bring to other members? *

Select all that apply

Fundraising and Capital Strategy

Business Development and Growth Hacking

Product Development and Innovation

Market Expansion and Internationalization

Financial Planning and Investment Readiness

Legal and Compliance Expertise

Technology and Engineering Expertise

Marketing, Branding, and Communications Strategy

Leadership and Team Building

Operations and Supply Chain Management

Customer Acquisition and Retention

Strategic Partnerships and Alliances

Industry-Specific Insights (e.g., Healthtech, Fintech, Edtech, etc.)

Which Viaka Roundtable would you like to join?

Select one or several. Description of the Roundtables and the Ideal Members to join can be found at the end of this form for reference.

Investment & Capital Strategies

Scaling, Growth & Market Strategies

Digital Tech & Innovation

Social Impact & Sustainability

Leadership & Talent Development

Innovation & Forward-Thinking *

Select the option(s) that best describe how you stay ahead in your industry

Regularly adopting and experimenting with new technologies

Continuously learning through industry research, courses, or certifications

Implementing creative solutions to business challenges

Leading digital transformation or innovation projects

Attending industry conferences, workshops, or events to stay updated

Engaging in collaborative innovation with other professionals or partners

Pioneering new business models or service offerings

Monitoring and adapting to emerging industry trends

Building innovation-driven teams within your organization

Cultural Fit *

What excites you most about joining this community, and how do you align with our values of openness, collaboration, and innovation? (Select all that apply):

Engaging with like-minded professionals who are passionate about innovation

Building meaningful relationships with founders, investors, and industry leaders

Accessing opportunities for collaboration and partnerships

Learning from experts through workshops and community discussions

Being part of a global network with diverse perspectives

Contributing to a forward-thinking and impact-driven community

Exploring investment opportunities in high-potential ventures

Mentoring or supporting others in their professional growth

I value transparency and open communication in professional relationships

I actively seek collaborative opportunities to drive mutual success

I believe innovation is key to staying competitive in today’s market

I thrive in environments where creativity and new ideas are encouraged

I am passionate about contributing to a diverse and inclusive community