LWL Membership Application

LWL Membership Application

Please only complete if you meet the membership criteria. If you have any questions, please email Mary at assistant@ladieswholeverage.com
MEMBERSHIP CRITERIA

LWL Membership is by invitation only. You can request to join and an application will be sent to you or you can click on one of the links that take you directly to the membership application. Once your application is reviewed and we have validated your qualifications, you will be invited to an interview.
- Applicant must be a woman entrepreneur (full-time or part-time) or a woman business owner.
- Applicant must prove company annual gross revenues of at least $100,000 (or just about there) for the most recent preceding fiscal year.
- Committed to collabosourcing, sharing and growing the Ladies Who Leverage Movement.
- Ready, willing, and able to make the time commitment and financial investment in themselves and their business.
In addition to meeting the financial requirements, prospective members must be committed to the advancement of other women and girls and value the opportunities offered to connect, share, inspire, motivate, learn, celebrate, grow, and have fun. A candidate who does not currently meet the membership criteria but clearly has within the last three years will be considered. We may also consider candidates outside of these criteria on a case-by-case basis.

Applicants who provide false or misleading information in connection with their application for membership will be removed from membership and may not be allowed to reapply.

All data collected herein is confidential and will not be shared outside of Ladies Who Leverage.
Name *

First Name Last Name
Date of birth *
Will be used internally for member recognition.
Email *
example@example.com
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
Please enter a valid phone number.
Business Name *
Form of Business *

Corporation LLC Sole Proprietorship LLP or other Partnership
What city & state are you located in? *
What industry are you in? *
Years in Business *

less than 1 year 1-3 3-5 6-10 10+
Gross Revenue For the Most Recent Fiscal Year *
Please note if you are invited to membership, you will need to provide proof of your revenue.
Website URL *
Social Media URLs *
Please upload photo *

Cancel of
What 3 areas do you need to work on to accelerate your business growth? *
Why do you want to be a member of Ladies Who Leverage and what do you have to offer to the community? *
What skills could you offer in mentoring girls age 9-18? *
How did you learn about Ladies Who Leverage? *
If invited to be a member, are you ready and willing to financially invest in yourself? *

Yes No
Is there anything else you would like our team to know about you?
CONFIDENTIALITY AGREEMENT

I acknowledge that during my membership with Ladies Who Leverage, I may learn sensitive, confidential and/or proprietary information about Ladies Who Leverage, its owners, staff, affiliates and my fellow members and their businesses. I hereby agree to not divulge any such non-public information learned in any forum as part of my Ladies Who Leverage memebership to any third party and to treat all such information with discretion and respect.
By signing and submitting this application, I attest that the information contained herein is complete and accurate. I also acknowledge that I meet the membership criteria. Additionally, I acknowledge that I have read and agree to the confidentiality agreement.
Signature *

Clear
Date *

Month Day Year
Date
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