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If you are an interested Director of more than one corporation, please give the information below for each corporation, eliminating duplication of sales volume and number of employees from inter-corporate transactions.
Number of Full-Time Employees OR Total Annual Compensation of all employees, excluding applicant:
Gross Sales Volume or Total Billings for most recent year
(mo) (year) Ending:
1. If you are an interested Director of more than one corporation, please give the information below for each corporation, eliminating duplication of sales volume and number of employees from inter-corporate transactions.
2. Please list any groups or organizations (formal or informal), the main purpose of which is to exchange ideas, to which your spouse belongs:
3. Would you consider yourself skilled enough in a particular field or endeavor to be called upon to make a formal presentation during one of our membership meetings? Yes No If Yes, indicate fields.
4. To what societies, clubs or professional organizations do you or your spouse presently belong? Please indicate any leadership positions you or your spouse have held.
Self / Spouse Organization Position
5. Is an EO member in any corporation affiliated with or related to your own company? Yes No
6a. Your Previous Work Experience:
6b. Your Education:
Duration: 1 Year
7. Please list your hobbies in order of preference:
8. Please list your spouse’s hobbies in order of preference:
9. In what functional area(s) (marketing, finance, etc.) would you describe yourself as having the most expertise?
10. Please list two personal references below:
Name Address & Telephone Relationship to You
Upon receipt of your application, the Membership Chair may contact these references. Thank you for your time in completing this application.
I certify that all information contained in this preliminary application is correct and I understand that if approved, I will be required to complete a formal application for EO membership.
Please email this filled application form to