Forum Indication of Interest | | Design Leadership Network

DLN Forum Application

Thank you for your interest in our forum program. The below application will help us to put you with the right group. Please fill this out as completely and honestly, as possible. In order to participate in DLN Forum, you must be a current member,

1. Applicant Information

Name*

First Last

Name of Company*

Email*

Cell Phone*

2. Business Information

How would you describe yourself? (Check all that apply)*

Architect
Interior Designer
Landscape Architect
Partner

Would you consider your practice local, regional, national, international?*

If local, which city?

If you have offices in multiple locations, how many and what regions?

Where is your primary practice or place of business?*

How many years have you been a principal of your current firm?*

How many employees do you have at your firm?*

Less than 10 employees
10 - 25 employees
Greater than 25 employees

Forum Specific Information

Are you comfortable with sharing work, personal topics, issues, critical information with members of your industry in your region?*

Confidentiality. One of the most important aspects of Forum is confidentiality. It is important to understand that this is key and members can be asked to leave Forum if they breach confidentiality. Do you feel you will be able to trust others with critical information?*

Do you have any conflicts for competitive or other reasons that would prevent you from being in a forum with another DLN Member?*

Are you able to commit to approximately three to four 24 - 36 hour meetings per year in different locations around the US?*

What types of issues do you feel a forum could help you resolve? (please check all that apply)*

Please use this space to describe why you are interested in joining a DLN Forum.*

Are you comfortable with possibly assuming responsibility in moderating, budget planning, location research and/or other commitments?*

Joining a forum requires a separate yearly fee outside of expenses related to travel, rental space and meals related to forum meetings. This fee covers but is not limited to administrative time and expenses, the professional moderator for your first forum, and other potential communications and events. The initial annual fee will be equal to the annual membership fee of $1,600. Are you comfortable with this expense?*

*By checking below, you authorize the Design Leadership Network to arrange for funds to be debited from your nominated credit card upon placement into an agreed upon forum chapter.

I hereby authorize the Design Leadership Network to charge my credit card upon placement into a forum chapter.

DLN Forum Application

1. Applicant Information

2. Business Information

Forum Specific Information

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