Leadership Circle Form

The Neythri Leadership Circle is an exclusive membership for senior level South Asian women (VP or equivalent and higher) to connect with each other and “give back” to the community.

Please submit the form below to join the Neythri Leadership Circle and the Neythri Hub, a private digital platform for Neythri members.

Name *

Email Address *

LinkedIn Profile (Please enter NA if you do not have a LinkedIn Profile) *

Company *

Role/Title (Please select Other if your Role/Title is not included in the list) *

Years of Experience after Undergrad (Please enter as a #) *

Highest Degree Obtained (Please select Other if your Degree is not included in the list) *

Industry Sector (Please select Other if your Industry is not included in the list) *

Functional Area of Expertise (Please select Other if your Functional Area is not included in the list) *

Country *

State *

City *

Zip *

Please indicate if you are interested in: *

Being mentored
Being a mentor
Both
N/A

How did you hear about Neythri? *

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