New Member Application

SDBR Membership Application

Please complete this form as the first step in being considered for membership in SDBR.
Date
Name:
Title
E-mail:
Phone Number
- Area Code Phone Number
Cell Phone Number
- Area Code Phone Number
Company Name

Address

Web Site URL
Who Referred You to SDBR?
What is your Professional Classification? e.g. Attorney, CPA, Banker
Describe your professional background
How many years have you been in your industry or profession?
How many years in San Diego?
How many years with your current organization?
How long has your current organization been in business?
If licensed or credentialed, are you current and in good standing?
Do you have a niche or specialty?
Are there specific industries that you serve?
What are your competitive advantages?
Please describe a typical client? (Revenue, Industry, Services Provided)
Please list any professional or industry associations you belong to?
Please list any service or networking groups you belong to?
Would you consider yourself a Connector, Referral Source or both? (Please describe why?)
As a member, what would you like to contribute to other members?
Describe the last two referrals you made and how you made them.
Describe the last two referrals made to you
Describe any relevant education and certifications you have that differentiate you amongst your peers.
Describe your hobbies/special interests
Describe why your last client hired you.
Will you be able to make a commitment to attend meetings?
Please list any other networking organizations that you belong to:

SDBR Membership Application