Weopapplication
Weopapplication
*Personal*
Name.EmailAddress
Address
ContactPhoneNumber
Married/Single/Widowed/Other
ChildrenYes/NoUnder18?
*Business*
BusinessName
BusinessWebsite
BusinessAddress
BusinessPhoneNumber
BusinessEmail
*SocialMedia*
AreyouonFacebook?Yes/NoBusiness/Personal
FacebookBusinessPageName__________________________
Twitter______________________________________________
Linkedin_____________________________________________
Pinterest_____________________________________________
Google______________________________________________
I,____________________________agree/donotagreetohavephotostakenforpromotional
products.Byparticipatinginagroupphoto,Iamconsentingtomyphotobeingusedfor
promotionalreasons.________
*Misc*
Areyouabletoattendmonthlymeetings?
InterestedinbeingaOfficer?(Ex,Secretary,BusinessManager)Yes/No
Doyouvolunteer?Yes/NoIfyes,pleaseexplain
Howdoyounetwork?
Areyouapartofanyothergroups?Yes/NoPleaselist.
Doyoutravel?Ifso,howoften
Skills.PleaselistskillsthatcouldbenefitWEOP.
________________________________________________________________
SignatureDate
___________________________________________________
PrintName
_______________________________________________________________
WEOPRepresentativeDate