WEL MEMBERSHIP APPLICATION

Below is the application to become a Sapphire Member. Fields marked with an asterisk* are required fields.

Please create a Username and Password which are required fields. The Username and Password are used to access the Member Dashboard. We recommend that you use at least 6 characters for each field and that you DO NOT use your email address for your Username.

The application requires one email address and provides an option for an alternative email. We highly recommend that you provide at least one personal email address; some company firewalls block outside emails .

Membership Information

You have selected the Sapphire Member membership option.

The price for membership is $475.00 per Year.

Do you have a discount code?

Account Information

Username

Password

Confirm Password

First Name

Last Name

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Already have an account? Log in here

Professional Information

Employment Status

Employed

Retired

In Transition

Company Name

Position/Title

Role

Additional Contact Information

Mobile Phone

XXX-XXX-XXXX

Business Phone

XXX-XXX-XXXX

Alternate Email

Provide an alternate email in case your main email address changes or email server blocks WEL eblasts.

Profile Address

This information will appear in your member profile

Address Type

Business Address

Other Address

Address Line 1

Address Line 2

City

State

Zip/Postal Code

County

Member Qualifications

Qualifications Type

You must either provide the URL to your LinkedIn profile, or upload a PDF of your resume or bio.

LinkedIn URL

Please provide the full URL to your profile. Example: https://www.linkedin.com/in/cindykushner/

Upload Resume or Bio

File must be a PDF. Max file size is 8MB

Member Info

Committee Interest

Select all that apply.

Professional Goals

Select one.

Other Professional Goals

Referred By

Payment Information

Card Number

Expiration Date

CVC

Discount Code

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