The Circuit - Application Interest Form
Thanks for clicking the "Apply Now" button showing your interest in being part of this innovative and collaborative community. As you now know, we're curating our membership with entrepreneurs and innovators from key industries and fields. If you fit that target profile and are excited to belong to this community, please fill out the fields below to help us better understand what you do and why you're interested.
Once you fill out this form, our team will review each application, consider who best fits our target profile and respond back with our selection decision as well as how you can plug in to the community.
Name (first, last)
Company and Title
Company Description, Vision, Mission
Website and Social Media
What is your company website and social media profiles?
I am an...(check all that apply)
Entrepreneur (have launched a business/startup)
Innovator (innovating new methods, ideas or products)
Remote Worker/commuter (work remote for someone else)
Aspiring Entrepreneur (want to launch a new idea)
Type of Industry or Field
High-growth Startup/Business (business model designed to be repeatable & scalable)
Maker (3D printer, prototyper, product designer, software, hardware, electronics, craft, STEM, etc.)
Creative (designer, author, photographer, artist, videographer, illustrator, brander, web designer, etc.)
I.T./technology (software, hardware, digital product/service, technology focused industry, etc.)
Film/Media (product or service company focused on the film or media industry)
I am interested in being a member because I need...
Affordable, flexible work space
Educational programs for growth
Events and networking
Access to future funding options or financial resources
I am interested in the following membership level:
Hot Desk ($100/month)
Dedicated Desk ($150/month)
Private Office ($350/month with six one-month contracts)
Send me a copy of my responses.
Please complete the captcha before submitting the form.
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