diff --git a/www/conservancy/apps/assignment/models.py b/www/conservancy/apps/assignment/models.py
new file mode 100644
index 0000000000000000000000000000000000000000..37317939b0f7c0ff4086855a0a905463cf261c61
--- /dev/null
+++ b/www/conservancy/apps/assignment/models.py
@@ -0,0 +1,59 @@
+from __future__ import unicode_literals
+
+import uuid
+
+from django.core.validators import URLValidator, ValidationError
+from django.db import models
+from django_countries.fields import CountryField
+
+
+def validate_mutiple_urls(value):
+    """Map the URLValidator() over text containing multiple URLs."""
+    candidate_urls = [c.strip() for c in value.split()]
+    invalid_urls = []
+    # TODO: Improve this https://docs.djangoproject.com/en/3.2/ref/forms/validation/#raising-multiple-errors
+    validator = URLValidator()
+    for url in candidate_urls:
+        try:
+            validator(url)
+        except ValidationError:
+            invalid_urls.append(url)
+    print(invalid_urls)
+    if invalid_urls:
+        raise ValidationError('These don\'t seem to be complete URLs:\n{}'.format('\n'.join(invalid_urls)))
+
+
+class Assignment(models.Model):
+    """A copyright assignment to Conservancy."""
+
+    uuid = models.UUIDField(primary_key=True, default=uuid.uuid4, editable=False)
+    full_name = models.CharField(max_length=255)
+    email = models.EmailField('Email address (to contact you if we have questions)')
+    country_of_residence = CountryField()
+    repositories = models.TextField(
+        'Code repositories containing contributions of yours whose copyright you are assigning',
+        help_text='List of URLs, one per line',
+        validators=[validate_mutiple_urls],
+    )
+    all_emails = models.TextField(
+        'All email addresses or other unique user identities, such as nicknames or handles, used by you to contribute to the above (i.e. in the commit logs)',
+    )
+    period_begins = models.DateField(
+        'Assignment period begins',
+    )
+    period_end_type = models.CharField(
+        'Time period to assign',
+        max_length=50,
+        choices=[
+            ('all future contributions', 'all future contributions'),
+            ('a specific past date', 'a specific past date'),
+        ],
+    )
+    period_ends = models.DateField(
+        'Assignment period ends (if applicable)',
+        blank=True,
+        null=True,
+    )
+    attestation_of_copyright = models.BooleanField(
+        'By checking the box below, I am confirming that I agree to be bound by the terms of the Copyright Assignment Agreement above.',
+    )