NetworkQ Membership Application

Welcome! This is your application to become a new member of NetworkQ. Please fill out the form and click the Submit button when you are finished. Enter as much or as little information as you wish. Everything you enter here will be kept confidential by the organizers of NetworkQ unless you explicitly permit it to be disclosed. You will be invited to select privacy options that allow some of your information to be seen by other NetworkQ members or by any visitor to the site, and you will be able to find information that other members have authorized you to see.

You are eligible for membership if you are a LBGT business school alumna/us or student (eligible for full membership) -- or law school, medical school, design school, and schools of government or any other executive (eligible for guest membership).

If you may already be on the NetworkQ mailing list, even if this is your first visit to this site, please login or request a password instead of registering on this page.

Everything you enter on this site will be kept confidential unless you explicitly permit it to be disclosed to NetworkQ members or others who search for you.

Please choose a new username and password, fill in the rest of the form, then click the Submit button.
Select Username  

Your username may be any combination of 4 to 15 letters and numbers.

Select Password  

Your password may be any combination of 5 to 15 letters and numbers.

Confirm Password  
First Name  
Middle Name  
Last Name  
Suffix  
Home Email  

For verification purposes, enter your school or alum email address, if available

Business School or Affiliation  
Type of Affiliation  
Field Names in Bold are Required.
     

Click Here If You Want
to Make the Type Larger