Long Island Center for Business & Professional
Women Membership Application

Please complete the following questions to help us get to know you and your business.

Name

First Name

Last Name

Business Name / Company

Years in Profession

Industry / Sector

Brief Bio

Tell us a little about what you do and your professional background.

Why would you like to join the Long Island Center for Business & Professional Women?

What do you hope to contribute or gain as a member of the LI Center community?

What areas of professional development or networking are most valuable to you?

Who is your sponsor or referring member?

Long Island Center for Business & ProfessionalWomen Membership Application