World Changing Women Membership Application Form
Business Name and Website URL
What stage of development is your business in?
Just an idea
Start up, and I'm still proving my concept
Start up, but I have a proven concept, some customers and capital to invest in my business
In the first 5 years of business, but not yet profitable
In the first 5 years of business and we're profitable
My business is mature, stable and profitable
How can WCW membership most assist you in growing your business and your reach / influence (select all that apply)*
New connections with other influencers
New connections with corporations
Access to new speaking opportunities
Finding exquisite guests for your TV show, radio show, teleseminar series or blog
Educational programs and tools on how to grow your business and reach
Trusted referrals to quality consultants and/or resources
Discounts on products or services relevant to your business
Quick opportunities to have your material blasted out to others
Opportunities for marketing collaborations and joint ventures such as summits, giveaways and events
Please tell us what you can contribute to other WCW members? (Choose all that apply)*
I can help connect other members to other resources that can help them
I can promote their work on my social media or other tools
I can offer training sessions or my expert advice to other members
What marketing or business development programs, classes or workshops have you taken?
What is the single biggest challenge you currently face in growing your business or level of influence? (The more specific and detailed you can be, the better.)
How committed are you to overcoming this (and other) challenges in your business over the next 12 months?
I'm not very committed
I'm somewhat committed
I'm very committed
I'm extremely committed
How did you hear about Kim or the World Changing Women Membership?
Thank you so much for applying!
We will get back to you within 2 business days.
Thank you for being awesome!
xo - Kim
A copy of your responses will be emailed to the address you provided.
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