Apply for KCReferral

APPLY

A unique group of professionals, KCReferral members understand the importance of committing ourselves to each other. We take our membership process very seriously and offer only one membership per industry. KCReferral only offers membership to people dedicated to being the best in their industry.

With that in mind, please set aside 15-20 minutes to complete the online application below. KCReferral only considers people that will value their membership in the group. If you don’t have the time to complete this application, then KCReferral is not the right group for you. If you do have the time, it could be worth thousands of dollars to you over time.

Prefix:

First Name:

Last Name:

Company:

Title/Position

Office Address:

City, ST Zip

Email:

Website URL:

Office Phone:

Cell Phone:

Fax:

Who referred you?

What is your primary source of business?:

Membership in KCReferral REQUIRES that you attend a 7:30 a.m. meeting on the first and third Tuesdays of every month. Can you make this commitment?

About Me:

About My Company:

How did you hear about KCReferral?

What other networking groups or organizations are you associated with? What does your participation require?

How do you prospect within your industry?

Does your company define specific territories you are to sell in? If so, can you sell across territories?

How long have you been with your current company and in your current role?

Describe your job responsibilities.

Give an example that illustrates success you’ve had in obtaining new business.

Give an example of a referral connection you’ve made for another person or business.

Explain why you would be a good asset for KCReferral.

What are you looking for in a networking group?

Do you have any specific questions you would like addressed by the KCReferral Membership Committee member that will call you to further discuss the group?

References: Please provide the last 3 customers you worked with:

(Please provide their name and number.)