4WE Membership Application Form

4WE Membership Application

Thank you for your interest in Women Working with Women Empowerment. All applicants will receive a confirmation of your membership application submission. Interviews will be held during the month of May. Please see our website for additional information or email us at contact@4empoweredwomen.com
Personal Information
Name

First NameLast Name
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cellular Number
Format: (000) 000-0000.
Enter your birthday month and date below
Professional Information
What is your area of expertise?
Additional Information
Why do you want to join Women Working with Women Empowerment? (visit our website at About | 4empoweredwomen.com to learn about the organization)
List any
How did you hear about Women Working with Women Empowerment (4WE)?
What skills, talents, or gifts do you have that can add value to the organization?
Will you dedicate a minimum of 40 hours a fiscal year to Women Working with Women Empowerment?
Do you commit to paying an Application fee of $50.00 and Annual membership dues of $165.00? (The application fee is non-refundable and must be processed when applying.) Annual membership dues may be paid via an optional payment plan of 3 installments. An initial payment of $65 is due upon invitation to join and $50 on the 1st of each month for the following two months. All dues must be collected by August 1st. All payments received are non-refundable.
Please submit a resume and headshot below. Both are required to process your application.

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To submit your application fee go to the following link: https://4empoweredwomen.com/donations-1
Signature
Date of Signature

MonthDayYear
Date

4WE Membership Application

Personal Information

Professional Information

Additional Information