The Fourth Floor - June 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+)

Address

LinkedIn Profile

(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. Why are you interested in The Fourth Floor?

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.)

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* 4. 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?

Put the industry you are most interested in first. Example industries include: luxury retail, transportation, ecommerce, marketing, cosmetics, cryptocurrency

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* 5. 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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* 6. 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!

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

CLEs (Continuing Legal Education talks) on a variety of topics

Curated cohorts chosen to facilitate business growth and partnerships

Membership-wide cocktail hours

Curated "Dinner for Four"

A speaker series with prominent female entrepreneurs, lawyers, and industry leaders

A Fourth Floor podcast with interviews with prominent women

A discussion board to ask and answer members’ business questions

Materials, guidelines and best practices geared towards helping members formalize a range of relationships, including Angel Investing and Advisory Board seats

Other (please specify)

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* 8. 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)

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

Other (please specify)

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

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* 10. (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

The Fourth Floor - June 2019 Application

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? 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

Question Title

* 5. 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

* 6. 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!

Question Title

* 7. 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

* 8. 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

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

Question Title

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

* 3. Why are you interested in The Fourth Floor?

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.)

* 6. 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!