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Business Name *
Industry *
Email *
Phone *
Length of time in Industry *
Please outline your background, experience, & qualifications: *
Has your professional license ever been suspended or revoked? * Select Yes No
If yes, please explain:
Have you ever been a member of a networking and referral group before? * Select Yes No
If yes, please list any additional networking groups of which you are a member:
Are you willing and able to commit to attend weekly meetings, arrive on time, and actively participate in the group? * Select Yes No Please provide me with more information
Are you willing to send a substitute if you are unable to attend a meeting? * Select Yes No
Have you ever been convicted of a felony? * Select Yes No
If yes, please explain & provide year:
At 605 Connections, we strive to pass one referral per week, have one 1-2-1 per week with another member, bring one visitor per month, miss a maximum of two meetings per 6-month period, and send a substitute for any missed meetings beyond those two. Are you able and willing to commit to trying to achieve those goals? * Select Yes No Please provide me with more information
Absolute minimum standards for members are to follow the attendance policy, to have passed at least 6 referrals in a calendar year, and to bring 2 visitors throughout the year. Are you willing to commit to these minimum standards? * Select Yes No Please provide me with more information
How many referrals do you want to give out over the course of a year? *
How many referrals do you want to receive over the course of a year? *
Are you excited to not only grow your own business, but to help grow other members businesses too? *
Any additional comments:
