Executive Network Membership Application | ExecutivePsych

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Executive Network Membership Application Form

First name

Last name

Email

Company and Position

LinkedIn Profile

Which specific industries, sectors, or executive professionals are you interested in networking with, and what drives this interest?

What unique expertise or insights are you willing to contribute?

Which cities would you prefer to attend our networking events in? (Check all that apply) * Required

New York City

Toronto

Which types of networking events are you most interested in attending? (Select all that apply) * Required

Intimate roundtable discussions

Industry-specific forums

Keynote speaker events

Interactive workshops

Peer strategy groups

Networking lunches

Strategically themed dinners

Leadership retreats

What topics or themes would you like to see covered during events to ensure they are valuable and relevant to you?

Thank you for submitting your application.

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