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MASTERMIND: Interest Application
Looking to connect to, learn from, and ignite action with other high-performing professional executive women in 2023? Fill out this brief interest application to tell us more! Note that all information is considered confidential.
This MASTERMIND will be facilitated by Shelly Elliott. Visit
shellyelliott.com
to learn more.
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Email
*
Your email
First and Last Name
*
Your answer
Location
*
Your answer
Company
*
Your answer
Title
*
Your answer
Why are you interested in joining a Mastermind?
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I am looking to expand my external network of kick-ass women
I am looking to take my leadership skills to the next level
I am tackling a tough challenge at work that I could use outside perspective and help with
I am navigating a challenging workplace culture and I need support and strategies to drive change
I am considering a career change and could use input, advice, and help charting a path
Other:
Required
Tell us some more details about the items you checked above, including the situation and what you hope to accomplish in the MASTERMIND.
Your answer
MASTERMINDS are only successful if participants also help share their skills, experiences, strategies, tips, tricks, and professional and life hacks. What would you bring to the rest of the cohort?
Your answer
Can you commit to at least a monthly, 90-minute virtual meeting from January through April, 2023?
Yes
No
Clear selection
What days and times work best for you to commit to MASTERMIND?
12-1:30 PM EST
4-5:30 PM EST
8-9:30 PM EST
Other
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
12-1:30 PM EST
4-5:30 PM EST
8-9:30 PM EST
Other
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
To further encourage commitment and offset facilitation costs, would you be willing to pay for a MASTERMIND network and experience over 4 months? Note: This first cohort will be free, but I am collecting data for the future.
*
Choose
No
Yes: $100-$200
Yes: $200-$300
Yes: $300-$400
Yes: $500 or more
A copy of your responses will be emailed to the address you provided.
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