BridgewatHER Network Application

Contact Name

First Name

Last Name

Company Name

Title

Email Address

Preferred Mailing Address

Address 1

City

State / Province

ZIP / Postal Code

Country

LinkedIn Profile

Which best describes your current role?

C-Suite Executive (CEO, CFO, COO, etc.)

Business Owner/Founder

Partner or Principal in a Firm

Senior Leader/Director with Decision-Making Authority

Other (Please specify)

Other

Briefly describe your company’s focus or industry:

How many employees work at your company?

1-4

5-25

26-100

100+

What is your approximate annual company revenue?

Under $500,000

$500,000-$1M

$1M-$10M

$10M+

How did you hear about the BridgewatHER Network? (Select all that apply)

Referral

Other

Do you have an existing relationship with a Bridgewater Bank team member?

Yes (Please share who)

No

Bridgewater Team Member Name

What do you hope to gain from being part of the BridgewatHER Network?

Why Bridgewater Bank for women in business?