WMD Application Form

WMD Nominee Application Information Form

We are delighted that you have decided to apply to become a member of Wednesday Morning dialogue. The mission of WMD is "to gather together women in the community who have excelled in their field and profession; to provide them with an opportunity to become acquainted with each other and exchange ideas on topics of mutual interest; to encourage intellectual development and help open new vistas of thought."

We welcome new members. It is our goal to strengthen and deepen our membership with a broad representation of outstanding women. Should you have questions please feel free to inquire at any of the several meetings you attend to learn more about and become better acquainted with our membership prior to the November nomination deadline.

Below is an application form for you to complete.

Yearly dues are $140. Financial assistance is available and currently limited to one year. Should you need financial assistance please note it on your application. Financial information is kept confidential.

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WMD APPLICATION FORM

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Applicant Last Name:

Applicant First Name:

Current occupation/profession:

Your Employer is:

Work Address:
City:
State:
Zip Code:

Work Phone:
Work Fax:

Work Email:

Business Web Site:

Residence Address:
Street:
City:
State:
Zip:

Home Phone:

Home Email:

Organizations you are currently a member of:

Describe the nature and length of time of your current occupation:

Previous occupations/professions and length of time in each:

Current non-profit or other cause-related organizations and activities and length of time:

Contributions to profession or other accomplishments:

Why are you interested in joining WMD?

How did you hear about WMD?

Name of Nominator (if applicable)

Resume attached? Yes No

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