Whatcom Women's Network

MemberShip Application

Name

First Name

Last Name

Business Name

Profession/Business Type

Business/Mailing Address

Business Phone #

Cell Phone #

Home phone #

Email Address

Website

How did you discover our group?

Member Sponsor (if any)

Years in business

Full-time or Part-time

Reference #1 Name:

Please list 2 local business contacts whom we may call.

Reference #1 Contact Phone #

How do you know this person?

Reference #2 Name

Reference #2 Contact Phone #

How do you know this person?

Does your business or profession require a license or special certifications?

If yes, Please list your licenses and credentials

Are you a member of any other networking groups or professional organizations?

If yes, Please list those organizations and groups here

Will you be able to reserve time in your business schedule to commit to regularly attending lunchtime meetings each week?

Are you willing to keep other’s business cards, and to talk about other member’s businesses to people you meet?

Are you willing to give presentations about your business or profession in front of the group, and to work on improving your public speaking skills?

Is there anything additional you’d like to tell us about yourself or your business as we consider your application?