GGN Membership Application

GGN Membership Application
I. Basic Information
Applicants Name
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Business Name (Friendly)
Legal Business Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Email
example@example.com
Industry
II. Experience & Credentials

NOTE: You may attach a resume or biography for additional information.
1. Experience in Professional Classification (be specific):
2. Length of time in Professional Classification:
3. Education background in Professional Classification or Degrees, current Licenses or Credentials required to perform in Professional Classification (list school/state and/or business/state):
4. Has your professional license ever been revoked or suspended?
5. Is the Professional Classification under which you are applying for membership your primary occupation?
III. Standards & Expectations
1. Are you able and willing to make the commitment to arrive at the bi-weekly meetings on time and stay through the 90 minutes, attend the Member Success Program and do you agree to abide by the GGN Networking Member Policies, Guidelines and Code of Ethics?
2. Are you willing and able to send a substitute if you are unable to attend a meeting?
3. Are you willing and able to bring referrals and/or visitors to this chapter?
5. Do you belong to other networking organizations?
If yes, please list:
6. Have you ever been convicted of a felony?
If yes, please provide details and year:
V. Terms & Certifications
CERTIFICATION
I hereby declare and certify that all statements contained in this application and any accompanying documents are true and correct, and that any misrepresentation or false statement may be grounds for rejecting my application or, if discovered after my application has been accepted, subject me to immediate termination at GGN Networking's discretion. I further understand that my membership is conditional and I agree, accept and will abide by all the terms and conditions set forth herein and those contained within the GGN Networking Member Policies, Guidelines and Code of Ethics, all of which I have had the opportunity to review upon request or received upon induction. I acknowledge that breach of these terms, conditions, and policies shall be grounds to terminate my membership.
Date

MonthDayYear
Date
Signature
VI. GGN Networking Code of Ethics
Upon acceptance to GGN Networking, I agree to abide by the following Code of Ethics during the tenure of my participation in the organization:

I will provide the quality of services at the price that I have quoted.
I will be truthful with the members and their referrals.
I will build goodwill and trust among members and their referrals.
I will take responsibility for following up on the referrals I receive.
I will display a positive and supportive attitude.
I will live up to the ethical standards of my profession.
Professional standards outlined in a formal code of conduct for any profession supersede the above standards.
VIII. Business References
Reference 1

First NameLast Name
Business
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Business Relationship
Reference 2

First NameLast Name
Business
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Business Relationship
Submit Application
VII. Application Process
1) Prospective members must complete this application and submit it to the Membership Committee for review.

2) The Membership Committee will review your application and inform you of your acceptance or non-acceptance.

3) The Membership Committee notifies the President.

4) The President announces new members at chapter meeting following acceptance by the Membership Committee and receipt of payment.
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GGN Membership Application

I. Basic Information

Applicants Name

II. Experience & Credentials

III. Standards & Expectations

V. Terms & Certifications

VI. GGN Networking Code of Ethics

VIII. Business References

Submit Application

VII. Application Process