Member Application

To view information about WWLI membership, including rates and benefits, please click here. After you complete the personal information on this page, you will be directed to a page to select your level of membership.

Personal Information

Prefix

* First

Middle

* Last

* Phone

Additional phone number

FAX

* Email

Secondary e-mail address

Employer

* Current or most recent title

* Current or most recent employer Company/Organization

* Employer Address

* City

* State

* Zip

* Country

Employer website

Home Mailing Address

Home Address Preferred mailing address.

City

State

Zip

Membership Information

* Preferred mailing address

* Highest education

List certifications and/or credentials

LinkedIn profile link Or include a link to your online bio.

* Current or most recent industry

* Number of people currently or most recently supervising Must be 5+, specify indirect supervison and direct supervision separately.

* What are the one or two most important things WWLI.org can offer you?

* Most interested in:

Member activities/networking events
Speakers
Webchat series

What are the one or two talents or skills you can offer to WWLI.org?

* What are the biggest challenges you face as a leader in your day-to-day work?

* Would you be interested in serving in a board capacity now or in the future?

Yes!
Not this year.
Unsure

* Does your company offer a formalized women’s leadership initiative? If yes, please describe

* What interests or activities do you enjoy that can be done in WWLI.org small group activities?

* Please add your written professional profile

For Demographic Information Only

* Annual budget responsibility

* How many hiring decisions do you make a year on average, including internal transfers?

* What other industries have you worked in as an executive?

Were you referred by a member? If you were referred by a member, please type their name.

Authorizations

* Published contact information - for affiliates only. I am open to being contacted by other affiliates and WWLI.org sponsors by the following preferred method.

* I would be open to contact for the following:

Business collaboration
Job or business opportunities
Mentoring others
Speaking engagements

* Member Contact Information Usage I understand as a member that I am prohibited from adding other member's contact information to my business email marketing list for the purpose of furthering my business unless that member individually gives me permission to do so.

* Authorization By submitting this application, I authorize the above contact information to be published in the private member directory.

* Payment The payment screen will folllow submission of this form. If you would like to use other payment methods, please email [email protected]

Yes, I acknowledge that without payment, this application is not yet approved.

Members Log In
Washington Women's Leadership Initiative ID:

Password:

	Forgot Username/Password?