top of page

Contributor Application

Thank you for your interest in becoming a member of the Influential Women Association. Our Mission is to unite influential women who are committed to service, compassion and leadership. Membership is considered based on two core pillars: Professional Leadership  and Community Service. All Applications received prior to our monthly board meeting will be reviewed and voted on by our board.

Please complete all sections of this application so we may gain a full understanding of who you are and the value you bring to our shared vision.

Personal Information

Available Tiers

More information about tiers, click here

Select one Required

Education, Achievements & Affiliations

Pillar One:  Professional Leadership (if applicable)

(This section is for applicants with a career or executive leadership background.)

Key Executive Responsibilities (check all that apply):

Pillar Two:  Community Service & Impact (if applicable)

(This section is for applicants who serve their community through volunteerism, leadership or grassroots initiatiative - whether or not they hold a formal position.)

Short Bio

Final Thoughts

Acknowledgement

Thanks for submitting!

bottom of page