Email *

Company/Organization Name *

What professional category/industry sector are you applying for? *

What is your work mailing address? Address, City, State, Zip *

Street Address

City

State

Country

Postal Code

What is your Phone Number? Please give your preferred, main contact number. *

Is the number listed above a landline or cell phone? *

Landline

Cell Phone

Do you have a webpage? If so, what is your website address?

Do you or your business have a Facebook account? If so, please tell the page name.

Education & Experience

Sharing more about your education and current, relevant experience is the next step!

Tell us about your education. Please include any/or all school, degree(s), professional licenses and/or certifications. *

Please let us know your current business, employer, length of employment *

Have you ever been dismissed, suspended or had your professional licenses/certification suspended? * If no, please write "No". If yes, please explain. *

How long have you been in your profession? *

Agreements & Understandings

Please tell us why did you decide to apply to Tuesday Titans?

What would you say are the strengths you bring to Tuesday Titans. Check all that apply. *

Business leads and referrals

A willingness to introduce people to my network of clients, friends and family

A great product or service that will help others

A willingness to learn and coachable mindset

Make friends and meet new people.

What do you expect to receive from our group? *

What other networking organizations do you belong to? *

Business Reference #1 Please include their name, business, phone, email and how you know them. *

Business Reference #2 Please include their name, business, phone, email and how you know them. *

How did you hear about Titan Tuesday? *

Payment Options The yearly, one-time cost for joining Tuesday Titans is $500. This includes costs for room, parking, and various Member activities. Any leftover monies are given back to the community at year-end. Payment is expected before being inducted in Tuesday Titans. Please bring your payment on day of induction: *

Payment of $500 - Checks are payable to Tuesday Titans

I would like to talk to the Executive Committee about payment. Please contact me.

Feel free to share any additional information that you would like the Membership Committee to be aware of as they review your application. *

Consent
I understand:

By submitting this application, I hereby declare and certify that all statements made and contained are true and correct. Any false or misrepresentation will be grounds for rejecting my application or, if discovered after my application has been accepted, subject me to immediate separation without any reimbursement. I further understand that my membership is conditional and I accept, understand, and agree with the guidelines, policies, and procedures, as they are currently presented. After 30 days, there are NO REFUNDS in membership dues.

Electronic Signature By typing your name below, you acknowledge reading and agree to the statement listed above. *

Thank you for your application! If you have any further questions, feel free to reach out to the leadership team.

Apply to Join Tuesday Titans in Lansing, MI