Request edit access
Activate Your Masterpiece Mastermind Application
Thank you for your interest in the Activate Your Masterpiece (AYM) Mastermind. I’m thrilled to offer this community experience. To ensure our group members compliment one another and work well together, please fill out this application form. Your responses will help us form a cohesive community. If this group is not a good fit for you, we will hold your application until a suitable group is found. Your fee will remain at the price of $997 or three payments of $350.

The process for commitment to the mastermind is:
1. Fill out this form and click submit.
2. Rhonda will respond with more information on your status by September 5.
3. When you’ve been placed in the group, we will send an invoice for your Activate Your Masterpiece Mastermind fee. We ask that you pay the invoice within three days to hold your place in the group. You are not enrolled until your invoice is paid.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone: *
Your answer
How did you hear about this mastermind? *
Your answer
What is your current career role? *
Your answer
What do you want to get out of this mastermind? *
Your answer
What do you believe you contribute to this mastermind? *
Your answer
When you are finished with this mastermind and looking back on it, what you hope to say about it? *
Your answer
Describe your top gifts and strengths. *
Your answer
I agree to practice confidentiality in all dealings with the AYM Mastermind. *
When I'm added to the AYM mastermind, I prefer to pay my fees (invoice will include a link to pay by electronic check or credit card). I understand I am not officially enrolled until my fee is paid. *
You have two choices for Mastermind sessions. Please choose the day and time that works best for you. Sessions start the week of September 10. I'd prefer to meet: *
Never submit passwords through Google Forms.
This form was created inside of Rhonda Peterson. Report Abuse