Online Application | Women Without Limits Networking

General Information

Date

Name *

First

Last

Business Name *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Work Phone

Mobile Phone *

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

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

Reference #2

Name *

First

Last

Reference #2

Business Name

Reference #2

Your Relationship

Reference #2

Phone *

Reference #2

Email *

Reference #2

Reference #3

Name *

First

Last

Reference #3

Business Name

Reference #3

Your Relationship

Reference #3

Phone *

Reference #3

Email *

Reference #3

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? *

Is this your full-time occupation? *

How long have you been doing this type of work? *

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.

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? *

Do you belong to other networking groups? If so, please list them: *

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: *

Charitable Groups *

Are you willing to do 1-2-1’s outside the group meetings, with other members, to get to know them better? *

Are you willing to bring quality referrals and introductions to our group and its members? *

Would you be willing to invite guests to our group who may be potential new members? *

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