Exclusive Mastermind Application
Thank you for your interest in joining our first exclusive mastermind. Please complete the information below as soon as possible. We are kicking off in January, 2020.
* Required
Name
*
Your answer
Current Title and Organization (including level)
*
Your answer
Email address
*
Your answer
Are you facing any specific challenges related to corporate culture?
Please share how you'd like to benefit from this exclusive mastermind?
*
Your answer
Years of professional work experience
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Your answer
Industry
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Healthcare
Technology
Professional Services
Education
Media and Entertainment
Government
Other:
Are you prepared to commit to the full requirements of the 90-day program?
*
Yes
No
Required
Is there anything additional you'd like Angela to know?
Your answer
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