Our mission is to attract, retain
and advance women in Northwest
Indiana through education,
leadership and business development.

application

“e” is an organization that was created to help attract, retain and advance women in the Northwest Indiana region through education, leadership and business development. We have applied for an IRS 501(c)3 designation.

Membership is geared towards Northwest Indiana women who are emerging business leaders, senior executives, entrepreneurs or community leaders. Membership in the organization requires an annual $75 fee.

Contact Information

First Name

Last Name

Street Address

City

State

Zip

Home Phone

Work Phone

Business Affiliation/Employer Information

Company

Position

Street Address

City

State

Zip

Work Phone

About You

Education

Personal Credentials/Certifications

Professional Organizations

Business Sector

Administration	Education	Accounting
Health Care	Finance	Non Profit
Sales/Marketing	Legal	Other

Areas of Interest

Networking	Workshops	Public Policy
Education	Regional Projects	Non Profit
Seminars	Advocacy	Other

Special Skills or Qualifications
Summarize special skills and qualifications you have aquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

Skill #1.

Skill #2.

Skill #3.

Referral Information

What prompted you to join “e”?

Referred by:

Agreement

By submitting this application, I affirm that the facts set forth in it are true and complete.

Yes

Payment

Make checks payable for $75.00 to: E Engaging NWI Business Women
Mail to: P.O. Box 11143, Merrillville IN 46411-1143

If getting ahead is part of your DNA, join us!
Let's begin meaningful conversations and share resources.

Connecting and advancing women in business throughout Northwest Indiana, including Lake, Porter, LaPorte, Newton, Jasper, Pulaski, and Starke counties.