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ELEVATE Circle Application
Thank you for your interest in joining the ELEVATE Circle. Please fill out the application below. Your info will never be shared and always kept confidential.
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1. First and last name
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Your answer
2. Email address
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Please double check that your email address is correct so that we can respond.
Your answer
3. City and Country
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Where do you currently live?
Your answer
4. Social Media profiles
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Please include a link to the most active profiles you maintain (Facebook, LinkedIn, Twitter, Instagram, etc)
Your answer
5. Website (If any)
Your answer
6. Introduce yourself in one sentence
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Please introduce yourself in third person for example: "John stout is a...."
Your answer
7. Your proudest achievement so far
Please describe it in a concise way
Your answer
8. Personal vision in one sentence
Where do you see yourself in the future?
Your answer
9. What are you primarily working on these days?
*
Please describe it in a concise way
Your answer
10. What contribution and impact do you want to make in the world and why?
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Please describe it in a concise way
Your answer
11. What's your top reason for joining?
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12. How did you hear about us?
If someone referred you, please indicate name
Your answer
13. Any other thoughts or comments you want to share?
It's all welcome!
Your answer
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