Women's Initiative Interest Form

Women's Initiative Interest Form

Thank you for showing interest in the NKY Chamber Women's Initiative program. Our mission is to provide opportunities for women of all career stages to CONNECT, GROW and ACHIEVE in business. Please complete the form below if you would like to be more engaged with the Women's Initiative program.
Name*

First NameLast Name
Company Name*
Job Title*
Preferred Phone Number*
Email*
example@example.com
Opt-In:

I authorize that I would like to receive the Women's Initiative monthly newsletterI authorize that I would like to receive Women's Initiative emailsI authorize that I would like to receive the electronic NKY Chamber newsletter
About

We're excited that you are interested in becoming a part of the Women's Initiative community! Tell us a little bit about yourself!
Do you volunteer on other boards of service or committees? If so, please list all that you are involved with:
What career level do you most identify with?*
Joining a Women's Initiative Committee

To serve on a committee and/or participate in a Women's Initiative program, your company must be a current NKY Chamber member.
Is your current company an NKY Chamber member?*

YesNo
I am interested in being involved in a Women's Initiative committee:

YesNoMaybe
Would you like to be contacted by a current committee member about volunteering on a committee?

YesNo
Please select which committee would be your first choice:

Annual Breakfast (Meets 2nd Thus, 9-10AM)Connect Hour (Meets 4th Weds, 9-10AM)Mentoring & Roundtables (Meets 1st Fri, 9-10AM)Outstanding Women of NKY (Meets 2nd Tues, 8:30-9:30AM)Professional Series (Meets 4th Fri, 9-10AM)Regional Summit (Meets 2nd Weds, 9-10AM)
Please select which committee would be your second choice:

Annual Breakfast (Meets 2nd Thus, 9-10AM)Connect Hour (Meets 4th Weds, 9-10AM)Mentoring & Roundtables (Meets 1st Fri, 9-10AM)Outstanding Women of NKY (Meets 2nd Tues, 8:30-9:30AM)Professional Series (Meets 4th Fri, 9-10AM)Regional Summit (Meets 2nd Weds, 9-10AM)
I would like to participate in the Mentoring and/or Roundtables Program

YesNo
To participate within a WI program, please fill out the application below:

WI Programs Application
NKY Chamber Resources:
NKY Chamber Contacts:
- Director of Women's Initiative: hnibert@nkychamber.com
- NKY Chamber Membership: labeln@nkychamber.com
- Sponsorship Information: dmcglade@nkychamber.com
Should be Empty:

Women's Initiative Interest Form

About

Joining a Women's Initiative Committee