Membership Application

Apply to Join Sioux Empire Connections

Complete the application below. All information is kept confidential and used solely for membership consideration. A member of our team will follow up after review.

Applicant Information

Full Name*

Business Name*

Title / Role*

Industry / Profession*

Years in Business*

Phone Number*

Email Address*

Website

Business Address*

Business Details

Brief Description of Your Business*

Primary Target Market*

Geographic Area Served*

Profession You'd Like to Represent*

Secondary Profession (if primary is taken)

Referral Information

What types of referrals are you seeking?*

What types of referrals can you provide to other members?*

What differentiates your business from competitors?*

Experience & Commitment

Have you participated in a referral group before?*

YesNo

If yes, please describe

How do you typically generate new business?*

How many referrals do you realistically expect to give per month?*

Professional Standards

Do you hold any required licenses or certifications for your profession?*

YesNo

If yes, please list

Professional References (optional but encouraged)

Goals & Expectations

Why do you want to join this business referral group?*

What do you hope to gain from membership?*

What do you believe you will contribute to the group?*

Agreement

Absence Policy: Meeting attendance is recorded. More than one (1) unexcused absence (absent without a substitute) over a six (6) month rolling period will result in a $20 fee to the Sioux Empire Connection membership fund. More than three (3) unexcused absences over this period may result in membership termination.

Membership Donation: A one (1) year membership donation of $500 must be paid before membership is activated. The donation is non-refundable. If the donation is made by a business, the business will have the right to replace an outgoing member subject to approval of the membership committee.

Profession Exclusivity: This organization is committed to allowing members to represent their listed profession free of competition within the meeting environment. Repetitive infractions may result in removal from the organization.

By submitting this application, I affirm that the information provided is accurate and that I am committed to actively participating, providing quality referrals, and upholding the professional standards of the group.

I have read and agree to the absence policy, membership donation terms, and profession exclusivity policy above.

Applications are reviewed by the membership committee. You'll receive a confirmation email after submitting.

Membership Investment

A one-year membership donation of $500 is required before membership is activated. The donation is non-refundable.

Attendance Policy

More than one (1) unexcused absence over a six (6) month rolling period results in a $20 fee. More than three (3) unexcused absences may result in membership termination.

Profession Exclusivity

Members represent their listed profession free of competition within the meeting environment.

Questions?

Reach out to Kyle Swiden directly.

[email protected]