Interest Survey Name(Required) First Last Please indicate any areas where you may be interested in participating as part of WAHN.Mentorship OpportunitiesCheck all that apply Serve as an ongoing mentor (one-on-one or small group) (Est Time: ~1 hour/month) Host a mentorship/networking dinner at Summit (attendees pay their own way) (Est Time: ~2–3 hours during Summit) Participate in Speed Networking / Speed Mentorship at Summit, including a brief planning call beforehand (Est Time: ~2–3 hours total during Summit season) 50 Over 50 Leadership & EngagementCheck all that apply Participate as an active member of the 50 Over 50 Women of Influence group led by Babbie Jaco (Est Time: ~1–2 hours/month) Be available as a resource for occasional WAHN needs, brainstorming, speaking opportunities, or leadership support as needs arise (Est Time: Flexible / as available) Help support WAHN through sponsorship outreach, relationship-building, or introductions to individuals/organizations that may be interested in supporting the mission (Est Time: Flexible / as available) Interested in helping shape future programming or initiatives for this group (Est Time: ~1–3 hours/month) I would like to stay connected but prefer minimal ongoing commitments at this time Other ideas or ways you may like to be involved: Other ideas