Screen Reader Mode Icon

Question Title

* 1. Tell us about yourself

Question Title

* 2. What type of member are you?

Question Title

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

Question Title

* 4. In the spirit of sharing, what are your GIVES and GETS for the community?

Please indicate what your give is (what you hope to contribute to other members) and what your get is (what you hope to receive from other members.)

Question Title

* 5. Based on your membership type, please indicate up to three industries you are interested in.

For example, 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?

Question Title

* 6. For attorneys only - What is your legal expertise? (choose up to three)

Question Title

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

Please enter your company website.

If you are not a Founder pls enter NA

Question Title

* 8. Is there anything else that you would like us to know about you? The more we know the more we can help in making connections. General comments also welcome here!

Question Title

* 9. If you become a Fourth Floor member, what kind of programming would you be interested in attending or engaging with? Select all that apply

Question Title

* 10. Please indicate if you are interested in partnering with The Fourth Floor in any of the below ways. (We may reach out for additional information)

Question Title

* 11. How did you find the The Fourth Floor?

Question Title

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

Question Title

* 13. I am applying to be the following member type:

0 of 13 answered
 

T