Please Email the Application To

Please email the application to: [email protected]

MEMBERSHIP APPLICATION

Women Corporate Directors (WCD) Foundation is a rapidly growing international community of women who serve as directors of corporations. We are committed to sharing the best practices of corporate governance and to discussing the challenges of conducting business in a highly competitive and volatile global economy. WCD membership provides a unique opportunity for networking, making new friends, and learning from the intellectual capital of accomplished women from all over the world.

Membership Criteria to Join WCD: WCD members are women who serve as directors of public or large privately-held companies or family-owned business boards. Private companies, including family-owned businesses, must have a minimum annual revenue of US $200 million in order to meet the WCD membership criteria. If you are a CEO, CFO, or other C-Suite Executive and are not currently on a public or large private company board, WCD will offer a new program in the called BoardNext if you are interested please email [email protected]. The initiative will include educational training, introductions to board members and search firms, as well as a peer group network. Details will be posted to our website as soon. We hope that you will consider applying.

WCD 78+ Growing Chapters WCD has chapters in Argentina, Arizona, Atlanta, Austin, Beijing, Boston, Brazil (Rio de Janeiro & Sao Paulo), Carolinas, Chicago, Chile, Cleveland, Colombia, Colorado, Columbus, Dallas/Fort Worth, Denmark, Finland, France, Germany, Greater New Mexico, Guatemala, Gulf Cooperation Council, Hanoi, Hawaii, Ho Chi Minh City, Hong Kong, Houston, Iceland, India (Delhi & Mumbai), Indonesia, Israel, Italy (Milan & Rome), Japan, Kansas City, Kenya, London, Los Angeles/Orange County, Malaysia, Melbourne, Mexico, Minnesota, Mongolia, Morocco, Myanmar, Netherlands, New York, New Zealand, Nigeria, North Florida/South Georgia, Panama, Peru, Philadelphia, Philippines, Puerto Rico, Quebec, San Diego, San Francisco, Seattle, Shanghai, Silicon Valley, Singapore, South Africa, South Florida, South Korea, Spain, St. Louis, Switzerland, Sweden, Sydney, Tampa, Tennessee, Toronto, Turkey, Uruguay, Washington, DC, Western Canada.

Myanmar Chapter, launching October 2, 2017

Future chapters in discussion include: Austria, Costa Rica, Detroit, Hungry-Poland-Slovakia combined chapter, Norway, Orlando, Pakistan, Portland Oregon, Portugal, Thailand and Vancouver. APPLICANT INFORMATION Please indicate which Chapter you are applying to:

PERSONAL CONTACT INFORMATION First Name: Middle: Last Name: Daytime Phone: Mobile: E-mail: Personal address: City: State/Region: Postal Code: Country: BUSINESS CONTACT INFORMATION Company Name: Title: Business Address: City: State/Region: Postal Code: Country: Phone: Fax: Website: Assistant Name: Ass’t Phone: Ass’t Email:

1 Please email the application to: [email protected]

FUNCTIONAL EXPERTISE AND EDUCATION Areas of Expertise (Check all that apply):  Human Resource Development and Strategic Talent  Communications  Logistics  Consulting  Manufacturing  Cyber Security/Homeland Security  Marketing  Digital/Social Media  New Product/Service Development  Ecommerce  Operations  Emerging Markets  Procurement, Supply Chain  Experience in India or China  Risk Management  Financial Expertise/CFO  Strategic Alliances, Partnerships and/or  General Counsel/Legal Mergers and Acquisitions  Global Branding  Strategic Planning  Governance  Technology  Government, Regulatory and Public Affairs  Other: ______

Education:

CORPORATE BOARDS –Board 1 (list each board separately) Company Name: Website: Title:

Company Location: Years on Board (i.e., 2001-2009):  Public  Private  Nonprofit  GRO/NGO  Advisory  Other If Private:  Family  Non-Family

Ticker Symbol(s): Listed Exchange(s): Revenue:  < $5 Million  $5 Million to $50 Million  $50 Million to $199 Million  $200 Million to $1 Billion  > $1 Billion Role You Serve on the Board* (Check all that apply):  Audit Committee Chair  Audit Committee Member  Chairman of the Board  Chief Executive Officer  Compensation Committee Chair  Compensation Committee Member  Director  Lead Director  Nominating/Governance Committee Chair  Nominating/Governance Committee Member  Risk Committee Chair  Risk Committee Member  Other: ______Industry:  Oil and Gas Equipment, Services  Advertising, Marketing  Packaging, Containers  Aerospace and Defense  Food Production  Petroleum Refining  Airlines  Food Services  Pharmaceuticals  Apparel  Forest and Paper Products  Pipelines  Automotive Retailing, Services  General Merchandisers  Publishing, Printing  Beverages  Health Care  Railroads  Chemicals  Home Equipment, Furnishings  Scientific, Photographic and Control  Commercial Banks  Homebuilders Equipment  Computer Peripherals or Office Equipment  Hotels, Casinos, Resorts  Securities  Computer Software  Household and Personal Products  Semiconductors and Other Electronic  Construction and Farm Machinery  Industrial Machinery Components  Diversified Financials  Information Technology Services  Specialty Retailers  Diversified Outsourcing Services  Insurance  Telecommunications  Education  Internet Services and Retailing  Temporary Help  Electronics, Electrical Equipment  Mail, Package, and Freight Delivery  Tobacco  Energy  Medical Products and Equipment  Transportation and Logistics  Engineering, Construction  Metals  Trucking, Truck Leasing  Entertainment  Mining, Crude-Oil Production  Utilities: Gas and Electric  Financial Data Services  Motor Vehicles and Parts  Waste Management  Food and Drug Stores  Network and Other Communications Equipment  Wholesalers  Food Consumer Products  Other

CORPORATE BOARDS- Board 2 (list each board separately) Company Name: Website: Title:

CORPORATE BOARDS – Board 3 (list each board separately) Company Name: Website: Title:

ADDITIONAL INFORMATION If you are not on a board, what is your affiliation with boards?

How did you hear about WCD?  Referred by Friend or Colleague  Media Coverage  Email  OnBoard Bootcamp  Institute Attendance  Other: ______

Please complete and return with Bio/CV to [email protected]. Applications may be submitted online at www.womencorporatedirectors.org

TERMS: I hereby apply for membership to WomenCorporateDirectors. I undertake to settle all subscriptions and other dues within 30 days of receipt of invoice. I agree that I will be advised in due course if my application has been successful and of my membership category. I agree that my data may be used by WCD to send me, by mail or by email, any publications made available to the members of WCD, including regular newsletters and updates on events and activities, as well as administrative communications, such as membership renewal reminders.

I understand and agree that if my membership application is successful, WCD may publish my name in the membership list on the WCD website.

WCD takes the security of member data seriously. The access of member contact data is solely for the use of WCD affiliates, members, staff and sponsors. In addition, it may be shared with search firms who are filling potential board positions. Lists may not be used for any other third-party marketing efforts.

Terms of Application and Membership: *  I accept these conditions  I do not accept and cancel this application