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 *

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

Website

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

Commitment

Acknowledgement