Membership Application

Name of Applicant*

Name of Business:

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone:*

Email:*

Job Title / Description:

Length of time in this position:

Length of time in industry:

Are you actively involved in the running of any other businesses? Do you hold any other corporate positions/jobs?

Professional Organizations you belong to:

Networking Organizations you belong to:

Have you been involved with other networking groups? For how long?

Describe any leadership roles you have taken in other groups:

Business Categories to whom you feel you can refer the most business:

Business Categories you see being the most beneficial for you:

What are your expectations from the Golden Triangle Executives Association group?

Time Committment*

The group meets every Thursday, from 11:45 am to 1:00 pm (4 Thursdays/month).

Do you feel you can meet that time obligation on a regular basis?

What aspect of the group do you feel you can best contribute?
(rate from 1 to 4 )

Taking leadership roles:

Providing quality services at a fair price for referrals received:

Providing referrals to group members:

Bringing new members to the group :

Would you be comfortable referring your clients, friends, family members to other members of the group on a regular basis?

Are you a former GTEA Member?

Who referred you to GTEA?

Which GTEA members do you know?

What is your Business Category/Classification?

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