Member Application

You have met the requirements of preliminary meeting attendance and are invited to submit an application for membership.

Name *

First

Last

Today's Date *

About Your Business

Name of Business *

Business Address

Address Line 1

Address Line 2

City

State

Zip Code

Business Category/Description of Business *

Years Experience in this Field *

Website / URL

Business Email *

Business Phone

Professional Licenses held

Education/Degrees

Is this your primary source of income? *

If not your primary source of income, please describe other sources

About You

Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Mobile Phone

Birthday

Spouse or significant other

Volunteer Activities *

Hobbies *

Networking Experience

How can you contribute to this organization? *

Networking Experience and other Memberships *

Professional/Business References

Please list 3 professional/business references. Each reference will be contacted prior to consideration of your application by the Board

Reference #1 Name *

First

Last

Reference #1 Email *

Reference #1 Phone *

Reference #1 Relationship *

Reference #2 Name *

First

Last

Reference #2 Email *

Reference #2 Phone *

Reference #2 Relationship *

Reference #3 Name *

First

Last

Reference #3 Email *

Reference #3 Phone *

Reference #3 Relationship *

Social Media

Please include the complete url (website link) to your social media profile.

For example: facebook.com/business-name

Facebook

Google+

Instagram

Yelp

Twitter

Linked In

You Tube

Website Profile

If your application is approved, you will be added to the PWNH website with your own member information page.
Please complete the following information to be used on your member profile

Describe your business, products or services *

Please limit your description to about 200 words.

List 3-5 good referrals for you

Why should someone hire you?

Photo for use on website

Please upload a professional headshot. For best results, the image should be a jpeg or png file and should be at least 450 x 600 px.

File Upload

Commitment

In understand that my role as a member of PWNH is a responsibility and I will make it a priority. In order to be an active member of the group, I promise to:

Support the Mission, Values and Goals of the Organization *

The Professional Women's Network of Houston is on a mission to generate business leads for its members and to provide professional services to its members, referrals and clients with integrity

Will attend Tuesday morning meetings that begin promptly at 7:30 *

Attendance policy requires that members may miss no more than 3 meetings per quarter.

Will offer my expertise to help ensure the health and success of the organization *

Will actively participate in the organizations, social activities and one-on-one meetings with other PWNH members *

Acknowledgement

I have received and read a copy of the PWNH By-Laws *

Please type your initials above to confirm that you have received and read a copy of the By-Laws.

I have received and read a copy of the PWNH Policies and Procedures *

Please type your initials above to confirm that you have received and read a copy of the Policies and Procedures.

Application Signature *

Please type your FULL NAME above as signature on your application

Phone

The dues for membership in Professional Women’s Network of Houston are $120.00 per year. Dues are payable annually, at the beginning of every year. New members dues are pro-rated for the year according to their membership date as follows:

January through March – $120.00
April through June – $90.00
July through September – $60.00
October through December – $30.00

Networking for Professional Women in Houston since 2007

About Your Business

About You

Networking Experience

Professional/Business References

Social Media

Website Profile

Photo for use on website

Commitment

Acknowledgement