Membership & Renewal Application As a member of the Heartland Women’s Network, you will have access to knowledge, resources, contacts, and support from other women in the Heartland. Email * indicates required field Personal Information: First name: * Last name: * Your Email Address: * Your Phone or Mobile: * Street Address: * City, State, Zip: * Emergency Contact: * Emergency Phone: * Company Information: Company of Employment: Company Address: City, St., Zip Email: Phone: Title: Years of Service: 0-1 Years 2-3 Years 3-4 Years 5+ Years Currently Seeking Employment: Yes No If you know someone who might be interested in membership, that you would like to refer to HWN, please enter their information below: Membership Referral One Name: Email: Phone: Membership Referral Two Name: Email: Phone: Sponsorship Referral One Name: Email: Phone: Sponsorship Referral Two Name: Email: Phone: How did you hear about us: Referral Internet Email Letter Other Volunteer Opportunities: Sponsorship Committee Creative & Web Committee Membership Committee Marketing Committee Events Committee Internship Become a Member As a member of the Heartland Women’s Network, you will have access to knowledge, resources, contacts and support from other women in the Heartland. Click To Join Upcoming Events HWN Sponsors Silver Level Sponsor Board Sponsors