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Charter Associate Application

Note: The intention of having Charter Associates is encourage a variety of Associates and backgrounds to participate in launching each of the Leadership Networks and to help shape the early development of the Institute. Being a Charter Associate is a privilege extended by invitation from the Leadership Team. An application to be a Charter Associate does not guarantee that this status will be granted.

All Associates of GWLI will be able to participate in the Leadership Networks, as trainers and/or for the provision of leadership services. They will also provide a resource base for GWLI to call upon when creating professional teams to serve various clients, particularly larger clients in longer-term contracts. Charter Associates will be invited to enter into a contractual relationship with GWLI. Upon receipt of this application a member of the Leadership Team will be assigned to interact with the applicant to perfect our relationship.

Note: items marked * are required

First Name*:
Last Name*:
Mailing Address*:
Employer*:
Your Position*:
Work Phone*:
Cell Phone
E-mail*:
What products and services do you and/or your employer have to offer that are compatible and complimentary to GWLI?
Did you note the key beliefs on the main page of the Web Site?

Do you concur with these beliefs?

Comments
Age Range:
What is the nature of your work?
What is the extent of your experience?
What volunteer activities are you involved in?
What aspects of leadership interest you?
How did you find out about us? Specifics:
What features of the web site attract you?
What did you NOT find that you would like to know about?
What did you not like about the GWLI website?
What is your website address?
There is a one-time registration and set-up fee of $300 to prepare a standard GWLI Associate web page to describe you and/or your company.
*Maintenance fee:
First year - $249.95
Second Year - $00.00
Third Year - $00.00
No payment is expected at this time. Upon receipt of the completed application a representative of GWLI will contact you to discuss finalizing our relationship.

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