The Fourth Floor - 2019 Application

Question Title

* 1. Tell us about yourself

Name *

Company *

Title

Number of Years at Company

Number of Years Professional Experience (5-8 ; 9-14 ; 15-20 ; 21+)

Personal City / State / Country - or Town / Province / Country

Personal ZIP / Postal Code

(Optional) Race / Ethnicity

Email Address *

Personal Phone Number

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* 2. What type of member are you?

I am a founder / co-founder

I am a legal executive

I am an investor / industry leader

I am a strategic partner

Other (please specify)

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* 3. Based on your membership type, please indicate up to three industries you are interested in. (i.e. if you are a member of a founding team or legal counsel, in what industries does your company operate? If you are an investor / industry leader, what industries are you interested in supporting?) (industries examples: luxury retail, transportation, ecommerce, marketing, cosmetics, cryptocurrency). Put the industry you are most interested in first.

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* 4. For attorneys only - What is your legal expertise? (choose up to three and put your most experienced topic first) (for example: US trademarks, GDPR, employment, SEC, in-house generalist, compliance, SaaS)

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* 5. Why are you interested in The Fourth Floor? (check all that apply)

I am looking for a BOARD MEMBER for my company / the company I work for

I want to sit on a BOARD of a company

I am looking for an ADVISOR / ADVISORY BOARD MEMBER for my company / the company I work for

I want to service as an ADVIOR / ADVISORY BOARD MEMBER for a company

I would consider acting as as ANGEL INVESTOR in connection with my role at a company

I am looking for an ANGEL INVESTOR for my company / the company I work for

I want to grow my career, network, and/or learn

I am not sure yet

Other (please specify)

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* 6. How would you like to be involved in The Fourth Floor? (We may reach out for additional information)

I want to be a member

My company or I may want to sponsor The Fourth Floor

My company or I may be able to host events

I can help organize events

I can speak on business, legal, or investor topics

I can write on business, legal, or investor topics

I can help volunteer

I want to be a mentor for other members

Other (please specify)

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* 7. (Optional) We are always looking for potential new members / founders / influencers / investors / sponsors / journalists. Who should we speak with?

Name 1 / email / comment

Name 2 / email / comment

Name 3 / email / comment

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* 8. Who invited you / referred you to The Fourth Floor?

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* 9. Who have you referred to The Fourth Floor?

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* 10. For founders (co-founders), describe stage of development and why you meet our membership criteria.

For everyone, what else should we know about you, your goals, and how The Fourth Floor can assist you? General comments are welcome here!

The Fourth Floor - 2019 Application

Question Title

* 1. Tell us about yourself

Question Title

* 2. What type of member are you?

Question Title

Question Title

* 4. For attorneys only - What is your legal expertise? (choose up to three and put your most experienced topic first) (for example: US trademarks, GDPR, employment, SEC, in-house generalist, compliance, SaaS)

Question Title

* 5. Why are you interested in The Fourth Floor? (check all that apply)

Question Title

* 6. How would you like to be involved in The Fourth Floor? (We may reach out for additional information)

Question Title

* 7. (Optional) We are always looking for potential new members / founders / influencers / investors / sponsors / journalists. Who should we speak with?

Question Title

* 8. Who invited you / referred you to The Fourth Floor?

Question Title

* 9. Who have you referred to The Fourth Floor?

Question Title

* 10. For founders (co-founders), describe stage of development and why you meet our membership criteria. For everyone, what else should we know about you, your goals, and how The Fourth Floor can assist you? General comments are welcome here!

* 10. For founders (co-founders), describe stage of development and why you meet our membership criteria.

For everyone, what else should we know about you, your goals, and how The Fourth Floor can assist you? General comments are welcome here!