Rising Tide Mastermind Application
Hey There! Congratulations on taking your first step towards professional and personal growth. Please fill out this application and once completed, a member of our team will reach out to you for a phone interview.
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First and last name: *
Mobile phone: *
Preferred email address *

Why do you want to join the Rising Tide Mastermind?


How did you hear about us? 

Business Name *

What product or service does your company provide, and what geographic territory do you service? 


Describe your day-to-day and current role:

What else would you like us to know about you? *
Can you commit to taking the time to 1.) Attend the weekly Zoom call, 2.) Meet with your Mastermind Accountability Partners, and 3.) Attend an annual Live Event? *
Can you commit to being fully present (your attention is on the group, not your regular day) at Mastermind meetings? *
Acknowledge that there is a monthly subscription fee of $350 involved with Mastermind Membership by checking the box below.  *
Our Mastermind groups are 100% confidential. What is said in our groups does not leave our groups. Can you promise that you will never repeat anything you learn from within the Mastermind group to anyone outside of the group? *
Congratulations! A member of our team will contact you to schedule a phone interview with Trace Blackmore shortly. Thank you.
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