Your Q&A Snapshot
Primary Location (city, state)
Choose the "best fit." You will have the opportunity to select additional options once your application is approved.
Architecture / Interior Design / Decorating
Beauty / Cosmetics
Coaching / Training
Design - Other
Entertainment - Other
Food & Beverages / Culinary
Government services, functions or roles
Health, Wellness, and Fitness
Hotels / Hospitality
Import and Export
Information Platform / Services
Innovation / Product Development
Law / Legal
Luxury Goods & Jewelry
Marketing / Advertising
Media / Journalism
Medical / Pharmaceuticals
Non-Profits / Philanthropy
Oil & Energy
Outsourcing / Offshoring
Public Relations (PR) & Communications
Security / Privacy
Social / Networking
Television / Film
Travel / Leisure
Provide the website address for your business, product, or service. If you don't have a business website, use your personal website or provide the URL for your LinkedIn profile or similar website.
A simple, brief and clear tagline that best describes your primary Career Position/Status. For example "Founder & CEO of X." For additional examples, refer to the Interviews page and scan the Headlines of existing interviewees.
Provide a brief and concise description/bio that best represents and summarizes your Career Progression to date. This could include entrepreneurial ventures, movements led, products invented, businesses founded, jobs/positions held or key career accomplishments that have contributed to who you are today.
AdMission Statement / Personal Brand Pitch
Think of this as your 30-second elevator pitch for describing yourself to someone that has never met you. Focus on what makes you unique, such as personal character traits, experiences or accomplishments that make up your personal “Brand.” If you had 30 seconds to summarize YOU, what is it that you would want the world to know? What are the key things that you want to be known for?
THE INTERESTING STUFF
How did you get into your industry?
What is the inspiration for the business idea, and your vision for the Business?
What makes you the best version of yourself?
What are your aspirations?
What is your personal mantra / motto?
Are you at least 18 years of age?
Yes, I am at least 18 years of age
Confirm that you are human
(type the characters that you see above)
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This form was created inside of The Native Influence.