PA Latina Women Leadership Network Registration Form

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The PA Latina Women Leadership Network will be launched at PLWC. The network is for individuals to be connected to a greater support system of mentors, including dynamic businesswomen, transformative changemakers, and visionary leaders, as well as inspiring mamás, supportive hermanas, caring tías, and wise abuelas — a vital backbone of the Latino community's strength.

The PA Latino Convention is action-driven and has a long history of empowering Latinas, creating impactful results for diverse populations, and connecting communities to greater opportunities in the Commonwealth of Pennsylvania.

The network is not just for Latinas. It is for a brave space of inclusivity celebrating women’s varied experiences and creating a community that empowers one another. It is about connecting a network of dynamic businesswomen and creating a greater support system of mentors, building long-lasting relationships, and creating opportunities and actions that impact Latinas across the state.

Organizers encourage diverse individuals, businesses and organizations to support this statewide leadership event where everyone is welcome.

For more information and to register, visit www.palatinoconvention.com

Name:

What is your age range?

Minimum Age 18

18-24

25-34

35-44

45-54

55-64

65 and over

Clear selection

Title:

Who is your current employer or which organization do you work for?

What is your current salary range (annually)?

Under $20,000

$20,000 to $39,999

$40,000 to $79,999

$80,000 to $124,999

$125,000 to $174,999

$175,000 to $200,000

$250,000 or more

Clear selection

Location:

E-mail:

Phone Number:

Affiliated Associations/Organizations:

LinkedIn Profile Link:

What motivates you to join the PA Latina Women Leadership Network?

How did you learn about our community?

Would you like to volunteer with us?

Yes

Clear selection

If yes, in what capacity are you interested in volunteering? (e.g., mentoring, speaking at events, event planning, etc.)

Thank you for your interest in joining our network. We look forward to your participation!

YYYY

Submit

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