Thank you for your interest in PM Cooperative: Mid-Career Growth with Women In Product.

Adding your name to the waiting list will ensure you will be contacted when the application opens in mid-September.

Name

First

Last

Email	Is this your work or personal email? PersonalWork

Current Title

Current Company/Organization

LinkedIn Profile

City	State/Province
Postal Code	Country

Tell us a little about why you would like to participate in PM Cooperative: Mid-Career Growth. Feel free to share your specific goals for the program.

Please specify

To track the effectiveness of our outreach efforts and ensure we consider the needs of our community, please answer the following questions.

Which best describes your current or most recent product experience and title?
How many years of product experience do you have?
What is the size of your current company/organization?
What product industry most closely applies to your current or most recent role?	Other
In your current or most recent role, what is the product focus?	Other

You are also invited to share specific demographic information about yourself. We use this information in an effort to better understand/contextualize/amplify feedback from minoritized populations whose voices too often get ignored or dismissed. Please consider the following OPTIONAL questions.

What is your gender?	Understood. We're listening:
Do you identify as LGBTQIA+?
What is your race/ethnicity? Select all that apply Hold ctrl or command to make multiple selections	Other
Do you have a disability?

Women In Product never shares your information without explicit permission.