Mulan House Membership Registration Form

Membership Registration Form

Thanks for your interest in becoming a Mulan House member! We're excited to get to know you. Please fill out the form below to help us learn more about you.
Mulan House is an initiative focused on empowering and connecting female leaders with roots in the broader Chinese-speaking world. We're more than just a community; we're a driving force for Chinese women who are ready to carve out their professional and personal paths.
Personal Information:
Name*

First NameLast Name
Date of Birth*

DayMonthYear
What is your pronoun?*
(She/Her, They/Them, etc.)
City of Residence(Please select the closet major city to you)*
Contact Information:
Email*
example@example.com
Phone Number*

Area CodePhone Number
WeChat ID
Optional
Online Presence:
LinkedIn Profile URL
Other social media handles you want to share
Professional Background:
What university do you attend or graduated from? *
What field(s) are you in? *
What is your current employer or name of business, if applicable (required)*
What is your current job title, if applicable (required)*
What are your years of work experience in the field (required)*

Less than 1 year1-5 years6-10 years10+ years
Referral:
Are you referred by any current Mulan House member(s)? If yes, please provide their full name(s)*
Club Association:
Which other associations are you currently members of?*
Survey Association:
How did you hear about the Mulan House?*

Social MediaWord of mouthPressInternet searchOther
Please describe your short-term and long-term professional goals. How do you believe membership in the Mulan House can assist you in achieving these?*
What industry other than your current profession are you interested in learning more about?*
Where do you see yourself in five years?*
What topics, forms of events, or speakers do you expect from Mulan?*
* Limited spots available.
* Final interpretation rights are reserved by Mulan House.
Should be Empty:

Membership Registration Form

Personal Information:

Contact Information:

Online Presence:

Professional Background:

Referral:

Club Association:

Survey Association: