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Application for a Creativity Mastermind Group hosted by Emergent Futures Lab

Please complete the following form with thorough, detailed answers so we can place you alongside complementary thought leaders.

Personal Details

Full Name

Company

Title

Industry

Best Email

Cell Phone

Links to Social Media Profiles


Motivation for Joining a Creativity and Innovation Mastermind Group

Why do you want to join Emergent Futures Lab's creativity mastermind group?

What do you hope to get out of this mastermind group?

What do you bring to this mastermind group?


Tell us about yourself

What are your primary business goals for the next 12 months?

What specific challenges are you currently facing in your business?

What do you like to do when not working?

How open are you to sharing confidential information in a group?

How open are you to sharing confidential information in a group?

How do you handle constructive criticism and feedback?

How do you handle constructive criticism and feedback?

Commitment

Are you willing to commit to regular attendance and active participation?

What do you envison as the ideal length of time spent meeting?

What do you envison as the ideal length of time spent meeting?

Budget: How much would you be willing to spend annually to participate in this mastermind group?


Scheduling

Select your preferred days of the week

Select your preferred days of the week

What time of day do you prefer?

What time of day do you prefer?

What city and time zone are you in?


Last thing...

What should we have asked you that we didn't?