Membership Application

First Name *

Last Name *

Email Address *

Telephone Number *

Company Website Address

Membership Level *

Emerging Entrepreneur ($350/yr)

Established Entrepreneur ($475/yr)

Corporate/Executive Associate ($775/yr)

Business Name *

In what industry does your business operate?

How long have you been in business?

Share a brief history of your entrepreneurial journey.

What inspired you to become an entrepreneur?

Have you faced any significant challenges as a business owner, and how did you overcome them?

What are your short-term and long-term business goals?

How do you envision your business evolving in the next few years?

Are there specific milestones you're working towards?

What challenges do you believe women entrepreneurs commonly face, and how do you address them?

Have you encountered gender-specific challenges in your entrepreneurial journey, and how did you handle them?

How do you believe being part of a Women Entrepreneurs Association can benefit you and others?

Are you willing to actively participate in association events and initiatives?

Yes

No

Uncertain

What values are most important to you in your business and professional life?

How do you contribute to fostering a supportive and inclusive business environment?

Are you open to collaborating with other members on projects or initiatives?

Yes

No

Uncertain

How do you believe networking within the association can enhance your business?

How do you stay informed about industry trends and innovations?

Please share an example of how you've adapted your business to changing market conditions.

How do you invest in your personal and professional development as an entrepreneur?

Are you open to mentoring or being mentored within the association?

Yes

No

Uncertain

Have you been a member of any other professional associations, and if so, how did you contribute to those communities?

Contact Information

Business Overview

Entrepreneurial Experience

Goals & Ambitions

Challenges & Solutions

Community Engagement

Values Alignment

Collaboration & Networking

Innovation & Adaptability

Commitment to Growth

Previous Association Experience

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+1 (702) 291-8883

+1 (702) 291-8883