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Membership Application
"
*
" indicates required fields
1
Basic Information
2
Background
3
Resume
Review the requirements/criteria on the Membership Page, then complete the following application to apply for membership with Business Navigators.
If your application is approved, two interviews will be scheduled with you as the next steps in the membership process.
Membership dues are annual.
Standard Membership Dues: $385
Ambassador Dues*: $185 the first year
* Requirements are on the Membership page
Basic Information
Name
*
First
Last
Title
*
Place of Employment
*
Functional Area
Academic
Accounting and Treasury
Board of DIrectors
Consulting
Engineering
Executive Management
Finance and Planning
Human Resources
Information Technology
Legal
Logistics
M&A
Marketing
Operations
Research and Development
Sales
Strategic Planning
Supply Chain Management
Transportation and Warehousing
Cell Number
*
Work Number
Primary Email
*
Enter Email
Confirm Email
Subscribe to the Business Navigators newsletter?
Secondary Email
Enter Email
Confirm Email
Subscribe to the Business Navigators newsletter?
Home Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Work Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Background
Please check all that apply:
*
I am a business leader serving a viable business enterprise
I am a strategic advisor to business leaders
I am an educational leader in a business related field
Explain your experience in any of the categories you checked above.
*
Please provide how you perceive servant leadership and how it applies to your personal and professional life.
*
Our organization is committed to leading with a pay-it-forward philosophy and to support one-another by building trusted relationships. We call that philosophy servant-leadership.
If you have a relationship with a current member of Business Navigators, please provide their name(s):
If you DO NOT have a relationship with a current member, please tell us how you heard of Business Navigators:
Resume
Resume
Accepted file types: pdf, docx, dox, Max. file size: 300 MB.
Please upload a copy of your resume.
Link to LinkedIn Profile (optional)
Additional Details
Please use this space to provide any additional details you'd like us to consider.
Please provide a brief paragraph (elevator speech) as an introductory paragraph about yourself.
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