If you are interested in joining Women on Board as an associate member, please check the Core Competences Profile. If you feel you qualify, you can apply using below application form.

Your application will be assessed by WoB's admissions committee who will advise the board for the admission decision.

Before you start:

Make sure you fill all fields even though the information can be retrieved on your CV.

If you wish, you can fill out the form in multiple sessions. Use the button in the top right-hand corner to display the load and save options.

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Privacy disclaimer: Women on Board is committed to preserving privacy. The personal information requested in the application form will be restricted to the use of those persons involved in the members admission process. Once you are admitted, your personal data will be transferred to the members database accessible only by authorized parties having signed a confidentiality charter. Women on Board will not use your personal data for marketing purposes. You have a right of access, information and rectification of your data, at no cost.

Personal background

First name*
Initials
Last name*
Gender*
Date of birth* - -
Nationality*
2nd nationality  ?  2nd nationality
Only if applicable.
Email for correspondence*  ?  Email for correspondence
Will also be your login to your profile (if and after admission).
Email home  ?  Email home
If different from email above.
Email office
Mobile phone*
Telephone (home)
Telephone (office)
Home address (street)*
Home address (postal code)*
Home address (city)*
Country of residence*
Additional contact information
Invoicing details for membership fee ?  Invoicing details for membership fee
Will be used if and after admission: Company name, Address, VAT number.
URL LinkedIn profile  ?  URL LinkedIn profile
Only if available.
URL other web profile  ?  URL other web profile
Only if available.

How were you introduced to Women on Board?

Source or medium*  ?  Source or medium
How did you become familiar with Women on Board
Name contactperson  ?  Name of your source
By whom was Women on Board introduced to you?

Academic history

(1) Degree / Diploma  Year gained: 
Subject / Major
University / College
City & Country
(2) Degree / Diploma  Year gained: 
Subject / Major
University / College
City & Country
(3) Degree / Diploma  Year gained: 
Subject / Major
University / College
City & Country
(4) Degree / Diploma  Year gained: 
Subject / Major
University / College
City & Country
(5) Degree / Diploma  Year gained: 
Subject / Major
University / College
City & Country
(6) Degree / Diploma  Year gained: 
Subject / Major
University / College
City & Country
(7) Degree / Diploma  Year gained: 
Subject / Major
University / College
City & Country
(8) Degree / Diploma  Year gained: 
Subject / Major
University / College
City & Country

Professional qualifications  ?  Professional qualifications
Certification or qualification earned from a professional society or university or from a private certifier (for example: Certified Public Accountant, Civil Lawyer, Chartered Financial Analyst, ...).

(1) Name / type of qualification
Active
Years gained - ended - 
(2) Name / type of qualification
Active
Years gained - ended - 
(3) Name / type of qualification
Active
Years gained - ended - 
(4) Name / type of qualification
Active
Years gained - ended - 
(5) Name / type of qualification
Active
Years gained - ended - 
(6) Name / type of qualification
Active
Years gained - ended - 
(7) Name / type of qualification
Active
Years gained - ended - 
(8) Name / type of qualification
Active
Years gained - ended - 
(9) Name / type of qualification
Active
Years gained - ended - 
(10) Name / type of qualification
Active
Years gained - ended - 

Main current position

Current job title*
Company*  ?  Company
Will be used on your badge at events.

Professional experiences (not board mandates)

(1) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(2) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(3) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(4) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(5) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(6) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(7) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(8) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(9) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(10) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(11) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(12) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(13) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(14) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(15) Years from - to -
Position / Job title
Organisation / Company
City & Country
Public or private company?  If private: listed? 

Board mandates

(1) Years from - to -
Type of board mandate  ?  Type of board mandate
Executive or non-executive.
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(2) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(3) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(4) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(5) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(6) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(7) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(8) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(9) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(10) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(11) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(12) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(13) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(14) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(15) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(16) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(17) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(18) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(19) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 
(20) Years from - to -
Type of board mandate
Organisation / Company
City & Country
Public or private company?  If private: listed? 

Other experiences

Leadership experience*
Board room experience*  ?  Board room experience
Other than board mandates.
Other relevant activities
Additional significant / personal information

Language ability

Native language*
LanguageFluency
Other language skills(1)
(2)
(3)
(4)
(5)
(6)
(7)

Indicate your relevant competences

Competence*(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)

Other competences

Your relevant sectorial experience

Sectorial experience*(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)

Other sectorial experience

Type of companies you consider for board positions

Type of company*(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)

Other type of companies  ?  Other type of companies
Please describe which other type of companies you consider for board positions.

Motivation & References

Motivation for sitting in a board*
Name  ?  Name of your reference
Who can we contact regarding the above?
Contact details  ?  Contact details of your reference
Please specify an email address or telephone number.
Reference (1)* 
Reference (2)* 
Other references

Documents

Please note that documents are not stored when you save a session.

Upload CV (English)*  ?  CV
Please upload an English CV in one of these file formats: .doc, .docx or .pdf
Upload motivation letter (English)*  ?  Motivation
Please upload a motivation letter in English in one of these file formats: .doc, .docx or .pdf
Upload photo*  ?  Recent photo
Please upload a recent photo of yourself in one of these file formats: .jpg, .png, .gif or .bmp.

Send

Click on Print to print out a copy of the completed form for your own records before you 'send'.

By submitting this form you are confirming your interest in becoming a member of Women on Board.