Leads Group Application
RequiredRequired Question(s)
1.
Please enter the information indicated below.

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com

2.

I'm interested in joining one of the following leads groups: 

Morning (meets twice per month on a consistent schedule)
Lunchtime (meets twice per month on a consistent schedule)
3.

I'm interested in serving in a leadership role within my leads group. 

Chair
Education Director
Membership Director
  • Comment:

  • 500 characters left.
Required 4.

Please list one professional reference. Include name, company and phone number. 

 

350 characters left.
Required 5.

In a few sentences, please share why you would like to join the leads group.

 

350 characters left.
Required 6.
I understand this is an application for membership in the Windsor Chamber Leads group. The WCLG leadership team has the express responsibility for presenting membership applications, for approval, at the next scheduled meeting. During a group's start-up phase, applications will be approved through the implementation team.


Yes
No
Required 7.
I also understand competing businesses will not be accepted and my application may be denied if another business already represents the same category.


Yes
No.
Required 8.
I understand either my membership includes this service or I will pay $50/quarter ($175/year) to maintain my seat in the leads group.
 
(Business membership level only. All other memberships include the leads group if a seat is available.) 
Yes
No
Required 9.
I have received (or downloaded) a copy of the Leads Group Policies & Procedures and the Category list. Download here


Yes
No
Required 10.
I commit to attend regularly scheduled leads groups meeting consistently. I also understand an occasional absence is allowed and will endeavor to notify the group Chair if possible.  


Yes
No
Required 11.

Please list the category of your business below. 

  • Accounting 
  • Advertising 
  • Animals 
  • Apparel 
  • Appearance 
  • Appliances 
  • Appraisals 
  • Architectural 
  • Art 
  • Auction 
  • Automotive 
  • Business
  • Cleaning
  • Coach
  • Collectibles 
  • Computer 
  • Consulting 
  • Embroidery 
  • Employment 
  • Engineering 
  • Entertainment 
  • Environmental 
  • Equipment 
  • Event Planning 
  • Facilities 
  • Financial 
  • Flowers Food/Beverages 
  • Funeral
  • Gifts
  • Glass
  • Health & Wellness
  • Insurance
  • Interior 
  • Landscaping 
  • Legal 
  • Mailing Services 
  • Media 
  • Medical 
  • Mortgage 
  • Moving 
  • Storage
  • Office Services
  • Organizing
  • Personal Services 
  • Pest Control 
  • Photography 
  • Printing
  • Public Relations 
  • Real Estate
  • Recreation
  • Security
  • Signs
  • Telecommunications
  • Trades
  • Transportation
  • Travel
  • Wedding
  • Windows

Enter the category here. If no category is listed above, enter below.
 

50 characters left.
Thanks for completing the leads group application. We will reach out to connect with you and discuss next steps. We appreciate your membership in the Windsor Chamber.