Membership Application

Growth RVA is dedicated to empowering businesses in Central Virginia through collaboration, insight, and networking opportunities. We’re excited that you’re interested in joining our community. Please fill out this form so we can learn more about you and how you envision contributing to the Growth RVA network.

Applicant Information

Full Name

Business Name

Position/Title

Business Website

Business Address

Street

City

State

Zip Code

Phone Number

Email Address

Business Details

Industry/Field of Business

Years in Business

Brief Description of Your Business

Primary Products/Services Offered

What makes your business unique?

How many team members do you have at your company that may attend the meetings?

If more than one, please give names and contact information.

Name

Contact Info

Add Remove

Any licenses or designations? (For example, there is a difference between a Class A and Class C contractor, or CPA vs EA, etc.)

Membership Goals

What are your main goals for joining Growth RVA?

What specific skills or expertise can you contribute to the Growth RVA community?

Are there particular types of businesses or industries you’re interested in connecting with?

How do you envision your business benefiting from a collaborative network like Growth RVA?

Commitment and Participation

Our members actively participate in Growth RVA events and meetings. Are you able to attend at least [monthly/quarterly] meetings and events?

Yes

Please indicate your interest in participating in additional activities such as:

Hosting events or workshops

Mentorship programs

Committee roles or board membership

Are there specific areas of business development or topics you would like to see covered in our programs?

Referral Information

How did you hear about Growth RVA?

Were you referred by a current member?

Yes

If yes, please provide their name.

Additional Information

Are you affiliated with any professional, volunteer, or other groups/associations?

Do you have any questions or comments for the Growth RVA leadership team?

Signature and Date

Signature

Clear

Date

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