• Free subcription to the Hispanic Magazine
• Special Discount in AVIS rental car
• Special Subcription in KAPLAN books
• Special events
  

The application runs from Jan to Decemember
Full name:________________________________________________________

Company/School Name: ____________________________________________

Professional Title:_________________________________________________

Daytime Phone: _______________________

Email:___________________________________

O Corporate Members are entitled to the following benefits for one year ($1000.00) • Individual HPWA membership for up to ten (10) employees • Logo placement and link on HPWA’s website sponsor page Networking opportunities with current • Special member pricing to all HPWA ­sponsored seminars, forums and events and emerging Hispanic leadership, in the metro area • Mentoring opportunities O Small Business & Non-Pro lit Membersare entitled to the following benefits for one year ($150) • Individual HPWA membership for up to three (3) employees • Logo placement and link on HPWA’s website sponsor page • Special member pricing to all HPWA ­sponsored seminars, forums and events • Networking opportunities with current and emerging Hispanic leadership, in the metro area • Mentoring opportunities	OProfessional Memberis entitled to the following benefits for one year ($50.00) • Information about events relevant to Hispanic professionals throughout the Washington Metropolitan Area via e-mails • Special member pricing to all HPWA ­sponsored seminars, forums and events • Networking opportunities with current and emerging Hispanic leadership, in the metro area • Mentoring opportunities O Student Members are entitled to the following benefits for one year ($25.00) • Information about events relevant to Hispanic professionals throughout the Washington Metropolitan Area via e-mails • Special member pricing to all HPWA­ sponsored seminars, forums and events • Networking opportunities with current and emerging Hispanic leadership, in the metro area • Mentoring opportunities

HPWA Profile Form

All members, regardless of member category, must complete an HPWA Member Profile in addition to this HPWA Membership Form. Circle, check off or fill in information where appropriate.

Name:________________________________ Business/Organization:______________________ Professional Title:_______________________ Bus. Address:________________________ City, _____________State, ___________ Zip:_________________________ Business Phone: _______________________ E-mail: Fax:_________________________ Are you interested in joining one of HPWA committees, please check the appropriate box below and a committee representative will be in contact with you: O Program/Events Committee Help plan some of our organization’s premier educational events O Membership Committee Reach out to Hispanic professionals to expand our organization’s member base O Website Committee Help HPWA stay on the cutting edge of technology O Communications Committee Help cultivate HPWA’s communications collateral and messaging O Finance Committee Assist with fundraising events and programs O Strategic Alliances Committee Help develop key relationships with other organizations and businesses that value the metro area Hispanic professionals O Mentoring Join and mentor a young professional student or find one for yourself

Information gathered in this section is for HPWA ‘s research purposes only and will not be used, sold or givens to any other entity. Name:__________________________________________   Home Address:________________________ City, _____________ State___________ Zip:__________ Home Phone: _______________________   Personal E-mail: _____________________ Fax:_________________________ Are you a Hispanic/Latino(a) professional? Yes / No Ethnicity:______________________________ Are you: _____English-language dominant ______ Spanish-language dominant Highest education completed: High School______ Technical college______ Undergraduate college/university______ Graduate college/university______ Post-graduate college/university______ Last school attended:_______________________ Degrees earned.__________________________ Age group: <21 22-28 29-35 36-45 46+ Marital status: Single, never married Long-term relationship______ Married ______ Divorced ______ Other _________ Children: 0 Expecting first 1 2 3 or more Residential zip code: ____________

Please make all checks payable to ALCANZANDO METAS FOUNDATION
Enclose check, completed form and membership profile and resume in an envelope and send to:

Hispanic Professional Women’s Association

700 12th Street  NW Suite 700

Washington DC, 20005

www.hpwa.org

Click her to pay online