Women's Leadership Circle Application
Thank you so much for applying to this 9 month mastermind program! It's designed for busy parents + entrepreneurs to connect, recharge, plan + design systems of success back into your life. Applications are open June 2018. We begin June 27th, 2018.

I will be reviewing applications on a rolling basis. Don't delay — if you're interested, apply as soon as possible.

PART 1 — CONTACT INFO
Your full name: *
Your answer
Your email address: *
Your answer
Location (State or Country) *
Your answer
Website (if you have one): *
Your answer
Phone Number: *
Your answer
Skype Username: *
Your answer
PART TWO — YOUR LIFE + DREAMS
RIGHT NOW LOOKS LIKE — What do you currently spend your time doing? (Work, parenting, leisure, other) *
Your answer
WHY YOU WANT THIS — Why does a group mentoring and mastermind group appeal to you? *
Your answer
WHAT'S STUCK — What are the biggest challenges getting in your way or holding you back? *
Your answer
BRAG A LITTLE — What results or success have you already achieved in your business and work? *
Your answer
WHERE YOU'RE GOING — What vision do you have for your business or work in the next 6 months to a year? *
Your answer
I WANT TO FOCUS ON — What project or puzzle do you want to focus on while we work together? *
Your answer
YOU AND ME — How did we first meet? When did you first come across my work? Have we worked together before? *
Your answer
WANTS + DESIRES — Anything else I can do to design a great experience especially for you? *
Anything else you want to share with me?
Your answer
PART THREE — LOGISTICS
How enthusiastic are you about joining this mastermind? *
A fair amount of positive feelings
Unbelievably excited! So stoked! Sign me up now!
How stable is your financial and personal life right now? *
Your answer
Do you have a preference for Facebook, Slack, or another tool for in-between group connectivity? *
Your answer
Please select the times that work best for you: *
All times are in Eastern Daylight Time (EDT)
Required
What skills and services can you offer back to this group?
Your answer
Any additional information I should know? *
Your answer
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