CEO-Netweavers-Membership-Application

CEO Netweavers Membership Application
Chapter

Atanta, Georgia AreaRemote In USARemote Outside of USA
Name*

First NameLast Name
Preferred E-mail*
Preferred Phone Number:*

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Where did you hear about us?

A Friend or colleagueSocial MediaBlog PostNews Article
Name of person or specific source who referred you:
Membership Rules
ALL Members must meet the following requirements:

Be a servant leader focused on paying it forward with a genuine desire to serve others and be focused on netweaving.

ALSO Members must fit into of of the following categories:
1. Current and former CEOs or C-Suite Executives, Partners or Principal Owners of companies with a minimum of 3 million dollars annual revenue
2. Trusted service providers who provide services to the first group who are referred by a current and active member and then approved by the operating committee
3. CEO Netweavers Sponsor
I have read, understood, and accepted the rules for membership.
I am applying as a

Current CEOs or C-Suite Executives, Partners or Principal Owner of a company or nonprofit with a minimum of 3 million dollars annual revenueFormer CEOs or C-Suite Executives, Partners or Principal Owner of a company or nonprofit with a minimum of 3 million dollars annual revenueSponsorTrusted service provider
I would like to volunteer in CEO Neweavers in the following areas (check all that apply)

MBA mentor (Mentorship)Developing company advisor (Inflection Point Panelist)Program committeeMarketing committee
Please provide several specific examples of your current service/volunteer activities/servant leadership activities:
Please provide a brief summary of your most senior leadership role, the company, the number of employees managed and P&L size. Please add any other information you would like to share about your background or experiences.
Once you submit your application, we will contact you shortly to complete your membership application. Thank you!
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CEO Netweavers Membership Application

Membership Rules