Clubhouse Coworking Membership Application

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ESTIMATED TIME TO COMPLETE THIS APPLICATION: 2 minutes.

The Cubicle to CEO® Clubhouse is a boutique co-working & events space in Salem Oregon created to support women entrepreneurs, creatives, and remote workers. We are committed to gathering a community of diverse, uplifting, and ambitious women in business to share this beautiful space with.

It is our intention to use this application process to better understand your needs/goals so we can determine if a Clubhouse membership is the best fit for you!

There are no right or wrong answers, so please be your amazing self and answer honestly :)

Thank you so much for your interest & keep an eye on your inbox!

If you have any questions, don't hesitate to reach us at: clubhouse@ellenyin.com

Email *

First & Last Name *

How did you hear about the Clubhouse? *

I saw an Instagram/Facebook Ad

I follow @missellenyin and/or @cubicletoceo on Instagram

I'm on Ellen's email list

A friend told me about the Clubhouse

Google Search

I saw a Craigslist ad

Other:

What's your business website? (Write N/A if you don't have one) *

What's your Instagram account? If you have multiple, feel free to include them all! Please type out the URL like this: https://instagram.com/username. (Write N/A if you're not on Instagram) *

What type of business do you have (or intend to start)? *

Service-based (e.g. coaching, real estate, photography, accounting, marketing etc.)

Brick & Mortar (e.g. retail, restaurant, gym etc.)

E-commerce (e.g. Etsy, Shopify, selling PHYSICAL products online)

Digital Products (selling courses, digital downloads etc.)

Media (blogger, content creator, journalist, influencer etc.)

Other:

Which situation best describes you? *

I am a full-time entrepreneur/business owner and I've been self-employed for 2+ years

I recently became a full-time entrepreneur/business owner in the last 24 months

I work a full-time job and am building my business on the side

I am not currently an entrepreneur but want to start a business this year

I work for a remote company and am not interested in entrepreneurship, just a space to work

The Clubhouse will be available to coworking members Monday - Friday, 6 a.m. - 6 p.m. How many days a week/how many hours do you anticipate working at the Clubhouse if you become a member? *

5 days/week, for 6+ hours each day

5 days/week, <6 hours each day

3-4 days/week, 6+ hours each day

3-4 days a week, <6 hours each day

1-2 days a week

Very infrequent - maybe once or twice a month

Depending on the day/time, you may have the Clubhouse all to yourself or there could be multiple members present at once. Are you comfortable working in communal areas and sharing table space with others? While we do have a few solo desks available, we do not offer reserved or "dedicated desks" at this time. *

Yes

Required

If one of our two private offices inside the Clubhouse becomes available in the future, would you like to be notified for first dibs? *

Yes please!

No thanks, I'm only interested in the coworking membership

How would you describe your ideal work environment? *

Complete silence - I need quiet to focus!

I like the white noise of conversation, people moving about, and background music

I like to play loud music and enjoy lots of activity around me - I hate working in silence.

How long are you planning to keep your Clubhouse membership? *

I'm just interested in trying co-working for a month or two!

3-6 months

6-12 months

As long as you'll have me!

Have you ever been a member of a co-working space before? If so, which one? *

Why are you a great fit for the Clubhouse? What draws you to our space/community? *

Do you identify as a woman of color or other historically marginalized group? *

Yes

Prefer not to answer

Do you have any ADA accessibility needs or trouble using stairs? *

If invited to become a Clubhouse member, are you able to pay your membership fee ($150/month) and lock in your spot in the next 48 hours? *

Heck yes!!! Ready to take action

I would need more time to think about it

Required

(Optional) Anything else you want us to know?

Send me a copy of my responses.

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