Become a Member

Dallas - Alliance of Technology and Women

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Become a Member of dallas ATW

Dallas ATW Chapter Membership Application

For $100 annually, you can be a part of a select group of Dallas women in technology. Members receive reduced monthly event fees. We also have a student/in-transition rate of $50. For women in Director-level positions and above, we offer an Executive Leadership Forum with events once a quarter.

Annual Dues
Regular: $100
Student/in-transition: $50

* indicates a required field

First Name: *
Last Name: *
Email Address: *
Contact Phone Number: *
Membership Type:	Regular - $100 In-Transition - $50
Home Address:
City:
State:
Zip Code:
Home Phone:
Home Email Address:
Cell Phone:
Fax Number:
Company Name:
Title or Profession:
Work Address:
Work City:
Work State:
Work Zip Code:
Work Phone:
Work Email Address:
When is the best time for you to receive phone calls?
Use which phone number?	Work Home
Month/Day of birth:
What advantages and opportunites are important for you?	Mentoring Relationships Participatory programs Professional growth Leadership Educational programs Empowerment Community service Service to women
What are your professional/career aspirations?
What are the strengths and experiences you are willing to share with another member in the capacity of mentor?
What experiences, attributes, knowledge and/or skills do you want your mentor to have?
Referred by:
Are you interested in volunteering for the Great Minds program?	Yes
Number of years' experience in technology-related field

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