Power Connectors – Member Connection Form

This form is designed for all members of the Power Connectors community, not just new faces. Its goal is to help us create more intentional connections, improve the member experience, and better understand how people want to engage right now. This is not a lead form, mentorship application, or guarantee of outcomes. It’s a snapshot in time so we can build smarter rooms together.

First name*

Last name*

Business / Organization*

Role / Title

Email*

Phone*

OK TO TEXT?*

Yes

What are you hoping to get out of networking right now? (Choose 3)

Community & Accountability

Referrals or New Clients

Strategic Partnerships or Collaborations

Visibility for My Business or Work

Mentorship or Guidance

I'm still figuring that out

What kinds of connections would be most valuable to you?

Industries, business stages, values, types of collaborators, or specific challenges you’re navigating.

How do you usually feel in networking spaces?

Very Comfortable

Comfortable

It depends on the room

Usually Uncomfortable

Very Uncomfortable

What do you dislike most about networking?

Feeling lost or overlooked in the room

Forced or awkward pitching

No follow-through after events

Overly sales-focused environments

Surface-level conversations

Where do you feel confident helping or supporting others?

Skills, experience, lessons learned, resources, or areas where you’re happy to share insight.

Are you open to mentoring, making introductions, or being a resource when it’s a good fit?

Absolutely

Not right now

Sometimes

When it aligns

What helps you engage best in community spaces?

Casual drop-in enviroments

Observing first, engaging later

One-on-Ones follow ups

Structured Formats

Smaller Conversations

Anything else you’d like to share?

Power Connectors is a relationship-driven community. We don’t guarantee referrals, mentors, or specific outcomes. We focus on creating spaces where meaningful connections can grow over time through shared participation and effort.