Host Application Form Personal Information:Name(Required) First Last Email(Required) Phone(Required)About You:Briefly describe your background and experience related to women's empowerment and wellness initiatives:Motivation:What motivates you to become a host for WILDE monthly meetups?ActivitiesWhich type of meetup activities are you most interested in? (Select all that apply) Brunches Winery Visits Sip and Paint City Outings Mummy and Children Family Outings Other (Type below) Activities/Other StateWhat State would you like to host inAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificAvailability:Are you available to host monthly meetups on the third Saturday of each month? Yes No Do you have access to a suitable venue for hosting the meetups? Yes No Commitment:Are you committed to upholding the values and mission of WILDE, including promoting mental, physical, spiritual wellness, and financial literacy for women? Yes No Benefits:How do you envision benefiting from being a host for WILDE monthly meetups?SocialInstagram or Facebook Handle Additional Comments:Is there anything else you would like us to know about you or your interest in becoming a host?Declaration:By submitting this form, I confirm that all the information provided is true and accurate to the best of my knowledge. I understand that completing this form does not guarantee selection as a host for WILDE monthly meetups.
