Startup Haven Membership Application
Startup Haven is not a community meetup and it's not an open networking group. We have strict standards for membership and completing this application requires some reading. The good news is that if you make it in you will find yourself in very good company.
Your First Name? *
Your Last Name? *
Your LinkedIn URL *
Please note that if you do not provide a valid LinkedIn profile link then your application may be rejected or greatly delayed. There is nothing magical about LinkedIn but we rely on your LinkedIn pro to expeditiously understand your current and historical trajectory as a startup founder, exec or investor.
Your Best Email Address? *
Most members remain involved with Startup Haven for many years -- some for more than a decade. Please provide an email address that you pay attention to and that you'll likely use for a long time. If you use your company email address and you get acquired (or the unfortunate opposite) your company email address may go away; in this case you will no longer receive communications from Startup Haven.
Please provide an alternative email address *
If you provided your work email above, then please provide a personal email address here, and vice versa.
Cell Phone Number *
Certain high-priority and time-sensitive member communications may be transacted via SMS message. You will have the opportunity to opt out of these communications once you become a member.
Gender *
Why do we ask? Because we believe diversity is important and we hold ourselves accountable to that belief.
Application Category *
Note: Non-founder execs must hold a statutory C-level exec title in a current operating role., e.g., CFO, CMO, CPO, COO, etc.
If you are applying as a Non-founder C-level Exec, which founder of your current startup (first and last name) is already a member of Startup Haven?
In order to qualify for membership as a Non-founder C-level Exec, at least one of the founders of the startup you currently work for must already be an approved Startup Haven member. If none of the founders of your current startup are members, then one of them must first become a member before you can be approved for membership.
For which city are you applying for membership? *
Startup Haven has 8 physical, in-person chapters in the following cities. If you are not physically located in/near one of these chapter cities then choose "Virtual Chapter".
Which additional chapter cities would you like to be consider for membership? (Do not select the city that you indicated above.)
If approved for additional city chapters, you will receive event invitations and newsletters from those cities. If you are a Virtual Chapter members, select the cities for which you'd like to receive invitations and newsletters.
Your company/organization name *
Your company/organization URL *
Brief description of your company/organization (50 words or less) *
What is the street address of your company? *
Working remotely or from home? No problem. Just use whatever address you use as a business address.
Company City? *
Company State? *
Please use 2-character abbreviation if possible, e.g., CA, OR, WA, etc.
Company Zip? *
How did you hear about StartupHaven? *
For example, LinkedIn, Google, your accelerator, a person's name, etc.
If you were provided an Express Approval Code, please enter it below.
Which Startup Haven programs are you primarily interested in? *
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