Skip to content
Home
Members
Visit
Location
Apply Online
Events
(727) 371-5969
Menu
Home
Members
Visit
Location
Apply Online
Events
(727) 371-5969
Application Form
Online Application
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 9
General Information
Date
Name
*
First
Last
Business Name
*
Email
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Work Phone
Mobile Phone
*
Next
What is your Business Category and/or Industry?
*
What Power Team do you best associate with?
*
Health & Wellness
B2B
Home Services
Personal Services
Financial Services
None of these
What member is sponsoring you?
First
Last
Next
References
(Please include 1 of each of the following: business colleague or boss, client, networking or referral partner or personal reference. Please do not include 3 of the same type of reference.)
Name
*
First
Last
Reference #1
Business Name
Reference #1
Your Relationship
Reference #1
Phone
*
Reference #1
Email
*
Reference #1
Next
Reference #2
Name
*
First
Last
Reference #2
Business Name
Reference #2
Your Relationship
Reference #2
Phone
*
Reference #2
Email
*
Reference #2
Next
Reference #3
Name
*
First
Last
Reference #3
Business Name
Reference #3
Your Relationship
Reference #3
Phone
*
Reference #3
Email
*
Reference #3
Next
Current Employment / Business Information
Describe your business or your responsibilities in your job or profession:
*
Describe your specialties or certifications associated with your business or profession:
*
Does your business require you to have a professional license?
*
Yes
No
Is this your full-time occupation?
*
Yes
No
How long have you been doing this type of work?
*
Next
Website / URL
*
Enter NONE if you do not have a Website Page.
Personal Facebook Page Link
*
Enter NONE if you do not have a Facebook Page.
Business Facebook Page Link
*
Enter NONE if you do not have a Facebook Page.
Instagram Page Link
*
Enter NONE if you do not have an Instagram Page.
LinkedIn Page Link
*
Enter NONE if you do not have a LinkedIn Page.
Next
Additional Questions
Do you have a scheduling conflict with our Wednesday meetings? We meet 1x per week from 9-10am (except holidays)
*
Yes
No
Maybe
If Maybe - Please explain
*
Are you willing to abide by our policy of no more than 10 absences in a calendar year?
*
Yes
No
Do you belong to other networking groups? If so, please list them:
*
Yes
No
Other Networking Groups
*
Why are you interested in joining WWL? What do you see that WE can do for your business?
*
How can you help other professionals in our group?
*
Are you accustomed to attending and participating in social or charitable events that we may do as a group? Please explain:
*
Yes
No
Charitable Groups
*
Are you willing to do 1-2-1’s outside the group meetings, with other members, to get to know them better?
*
Yes
No
Are you willing to bring quality referrals and introductions to our group and its members?
*
Yes
No
Would you be willing to invite guests to our group who may be potential new members?
*
Yes
No
Next
Disclaimer and Signature
I certify that I will be in attendance at the Women Without Limits seat-specific group and will miss no more than 8 meetings per year. *If I cannot attend a meeting, I agree to post that I am unable to attend in the Facebook group at least one day prior to the meeting or as soon as possible. ***Annual Dues are $50/year
I will provide the quality of services at the prices I quote.
I will be honest with members and member referrals.
I will build good rapport and trust amongst the members and their referrals.
I will bring a positive attitude and enthusiasm to the group.
I will conduct my business with ethically and professionally.
I will promote members’ businesses as if they were my own.
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to membership, I understand that false or misleading information in my application or interview may result in my being removed from the group.
Signature
*
Type your name
Submit