Primary Membership Application – (CSEA) Colorado Springs Executives Association

Important

Active Members shall be persons who are owners, managers, officers, or principal executives of the stated business. As membership is nontransferable, change of ownership or top management of the business, or termination of the Active member in that business, shall terminate the membership. The business may then designate another qualified person to apply for Active Membership and that person shall be given first and preferential treatment by the Board of Directors for that Active Membership. Alternatively, the Active Member, if continuing in the same business classification, may be considered for that Active Membership. – Article IV, Section 3, of the CSEA Bylaws

Business Name/dba *

Name of Sponsoring Member: *

Applicant's Name *

First

Last

Email *

Preferred Phone Number *

Preferred Phone Type:

Cell Phone
Office Phone
Home Phone

What is your current position and title? *

Principals

Please list all owners/key executives, with titles.

Nature of Business *

Briefly describe what your company does. Please provide as much pertinent information as possible, as this will be used to help determine the business classification.

Classification/Category desired *

How long have you been associated with this business? *

If less than two (2) years, what was your former occupation?

How long have you lived in the Colorado Springs vicinity? *

Additional Information

Please provide any additional information you feel would be helpful to the Board in consideration of this application.

Business Communication Information

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Physical Address (if different)

Address Line 1

Address Line 2

City

State

Zip Code

Applicant's Digital Signature *

Type your name here to sign your application

*Important*

Business Communication Information

Colorado Springs Executives Association

Important