Pre-Membership Assessment Form

You Can Women in Business is not seeking perfect women. We are an organization of women on every business level; women who ASPIRE to do more and be more!

Are you ready to take care of BUSINESS! Are you ready to connect with like-minded women? Are you ready to step outside of your comfort zone? Are you tired of making excuses? Are you ready to look fear in the face and say, "YES, I CAN?"

You Can Women in Business is looking for women who will work together as a team to build strong, professional, supportive and results based chapters. We are looking for women who are ready to take the lead to assist their YCWIB Sisters, take action in their community, take responsibility for their business success and actively promote the mission of YCWIB. We are looking for women who will seize every available opportunity to grow develop and advance. ARE YOU THAT WOMAN? If so, complete the pre-membership assessment form, which is the first step to membership qualification within You Can Women in Business.

First & Last Name:
E-Mail Address:
Contact Number (H):
Contact Number (C):
How did you hear about YCWIB?:
What is the name of your business?:
How long have you been in business?:
Are you happy with where your business is?:	Yes   No
If No, Why?:
What does your ideal organization for women in business look like?:
All new members of YCWIB will receive an individual 45 minute phone consultation dealing with business basics. Please provide us with areas in business that you need assistance with.:
It is a requirement for members to attend monthly chapter meetings every 2nd Tuesday of the month from 6pm—8pm. Will this time conflict with your schedule?:	Yes   No
All YCWIB chapters host Quarterly Lunch and Learns, which take place on a Saturday during the months of January, April, July and October. Will this conflict with your schedule?:	Yes   No
When faced with a problem do you:	Look for a solution Blame others Throw in the towel and give up
On a scale of 1 – 10, 1 being the lowest and 10 the highest, how consistent are you?:
Do you find it difficult to take instructions from others?:	Yes   No
Do you find it difficult to follow policies and procedures?:	Yes   No
Are you punctual?:	Yes   No
List the names of other organizations that you are a part of or have been a part of.:
What areas do you need to improve in professionally and personally?:
What skills, knowledge or abilities do you possess, which you feel will be a great asset to the members of YCWIB?:
What do you hope to gain as a member of YCWIB?: