NextGen Membership Application: Established Leader
Experienced professionals committed to collaboration, mentorship, and thought leadership within the printing and embellishment industries.
Sign in to Google to save your progress. Learn more
Full Name *
Preferred Name
Company *
Job Title *
Years in the printing / embellishment industry *
Email
Phone (optional)
LinkedIn profile *
City / State / Country
Date of Birth (age eligibility verification only) *
MM
/
DD
/
YYYY
Briefly describe your current role and responsibilities.
What segment(s) of the printing and embellishment industry do you work in? *
Required
What do you consider your primary professional strengths? (Select up to 3) *
Required
Why do you want to join NextGen? *
How do you hope to contribute to the NextGen community? *
Are you willing and able to meet the annual participation expectations (minimum four events per year)? *
How many years have you held a leadership or management role? *
Describe one professional achievement that demonstrates your leadership impact. *
What experience do you have mentoring or developing others? *
In what ways would you be willing to support Rising Leaders? (Select all that apply) *
Required
What do you see as the biggest leadership or talent challenge facing the printing industry over the next 5–10 years? *
Please read and agree to the following statements: *
Required
Signature (Type your full name as agreement) *
Date of Application *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Harris & Bruno International.

Does this form look suspicious? Report