Membership Application

1

Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Please enter a valid phone number.

4

Tell us about yourself.Who are you, and what drives the work you do? (500 words max)

5

What do you do for a living?Name of Company/Business and Job Title (Homemaker is an answer here too - we see you and your value!)

6

Where are you in your life’s journey right now?What season are you in personally or professionally? What are you navigating or stepping into?

7

Why B. Her Collective?What drew you to our community, and why do you want to be a member now?

8

How do you define impact?What does being a high-impact woman mean to you — personally or professionally?

9

What areas of growth are you currently focused on?

Personal Development

Financial Wellness & Wealth Building

Professional/Leadership Growth

Community Building & Social Impact

Mental/Emotional Wellness

Other:

10

If "other" (from previous question), please expand...

11

Which of our Collective experiences are you most interested in?

Amber Labs

Brunch & Conversations

Round Table Talks

Pause & Reset Retreats

Office Hours

Volunteering/Philanthropy Initiatives

All of the above

12

What lived experiences, leadership, or expertise would you bring to the Collective?

13

What does community mean to you?How do you show up in collective spaces, and what are you looking to receive and contribute?

14

Are you open to serving in a committee or leading a round table or initiative in the future?

Yes

No

Maybe, let’s talk more

15

Which of the following membership levels are you interested in committing to financially?

Monthly (12 Payments of $125)

Quarterly (4 Payments of $312.50)

Annual (1 Payment of $1,200)