Women’s Leadership Council Form

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Join a Network of Inspiring

Women Leaders

Complete the application below to be considered for membership in a community of HR leaders dedicated to growth, connection, and leadership excellence.

Contact Information

Name *

First

Last

Email *

Phone *

Job Title *

Company Name *

LinkedIn Profile

Leadership Experience

Briefly describe your current role and leadership responsibilities. *

How many years of leadership experience do you have? *

0-5
6-10
11-20
20+

How many people currently report directly to you? *

0
1-4
5-9
10-19
20+

Membership Interest

Which membership option are you applying for?

Individual Member — Participate individually in the Women's Leadership Council.
Legacy Member — Participate in the Council while sponsoring one female emerging leader to participate in the program.
Corporate Member — Sponsor five or more women from your organization to participate in the program.

Who are you sponsoring as part of your Legacy Membership?

Name *

First

Last

Email *

Job Title *

Company *

Corporate Member

Approximately how many women would your organization like to sponsor? *

5-9
10-19
20+
Not sure yet

Would you be the primary contact for your organization's participation? *

Yes
No
Unsure

Your Interest and Contribution

Why are you interested in joining the Women's Leadership Council, and what do you hope to gain from the experience? *

What perspectives, experiences, or expertise do you hope to contribute to the Council? *

Participation

requires applying you

Council membership requires approximately 2–4 hours per month for peer mentorship, group coaching, and Council experiences. Can you commit to active participation? *

Yes
No
Unsure

Please enter your nearest metro city. *

Agreement

Agreement *

By checking this box and submitting this application, you agree to the terms of service.

Signature *

Clear Signature

Date *

Home
About
- About Us
- Our Methodology
How We Help
- How We Help
- Mentoring Culture Assessment
Solutions
Resources

ORGANIZATION

ABOUT US
OUR METHODOLOGY
MENTORING WOMEN'S NETWORK
LEADERSHIP EXCHANGE
MENTORING CERTIFICATION
HOW WE HELP
MENTORING CULTURE ASSESSMENT

RESOURCES

BLOGS
IN THE NEWS

LEGAL

TERMS & CONDITIONS
PRIVACY POLICY
DISCLAIMER
CODE OF CONDUCT

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