RCLF Intake Form
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First & Last Name *
Phone Number *
Email *
Age (Groups will target to have member within five years of the average age of group for relevancy of issues being encountered). Your specific age will not be disclosed to other members
Company Name *
Position *
Most Recent Approximate Annual Revenues *
What aspect of RCLF are you most intrigued by? *
Do you have prior experience or are you enrolled in another leadership forum? If so, which group? *
Are you comfortable with your name and company being referenced in recruitment efforts for your group and RCLF overall? Please note NO confidential information would be shared. *
Once an initial group of 6 is formed, I will contact all 6 members and reconfirm interest and schedule our first session. To confirm commitment to this process, we require a deposit which will be held for 6 months. If you are not within a group in six months from the date of receipt, it will be refunded. If you enter the group, it will be applied to your first month of fees. If you decide to abandon the process, it will be retained as an application fee. Do you still wish to proceed in this process? An invoice will be issued for tracking purposes. *
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