The Disruptive GC Network - Membership Application
Thank you for your interest in joining the Disruptive GC Network, an invitation-only network for:

1. GCs or Heads of Legal (i.e. lead counsel to either the entire business, or for larger businesses, a geographic region or a key business area)

2. Working in a high-growth early-stage business that is disrupting an industry

3. Based in the UK

Please complete the questionnaire below to help us determine if you are eligible to join our group. We will get back to you as soon as practicable with our decision.

Email address *
Name *
Job Title *
Company *
Business / Industry *
(e.g. Online furniture retailer)
Email *
Phone number *
Please tell us a bit more about your company...
What year was it established? *
How many employees does it have?
What is the size of the legal team? *
What type of company is it? *
How is your company a "disruptive" business? *
e.g. What traditional markets, firms, products or alliances is it displacing?
Please tell us a bit more about your role
When did you join the company? *
How many years' PQE (or equivalent) do you have? *
Who do you report in to? *
e.g. CFO, COO, CEO, Global GC, UK Head of Legal
Who (if any) reports in to you? *
Miscellaneous
Is there anything else that you think we should know?
If you are VC-backed, please name your main VCs. If you work in a VC firm, please elaborate on the extent to which your firm's portfolio focuses on disruptive businesses, and the nature and extent of your involvement in such portfolio companies' day-to-day legal management.
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