DARE to Lead Mastermind Group Application September 2019
RequiredRequired Question(s)
The application process is a very important step in creating a dynamic group of women ready to participate in Daring Leadership.  The success of the mastermind group depends on the commitment and participation of every member that is why there is an application process to ensure everyone is a good fit for the courageous journey ahead.  Please complete the application as thoroughly and honestly as possible.  The information you provide is completely confidential and will be used for acceptance into the mastermind only.  

You will be contacted shortly regarding acceptance into the Dare to Lead Mastermind Group. Occasionally an additional interview is needed to determine if the group is the best fit for you.  If accepted, you will receive an agreement with payment details and information about our first meeting.  
 
Required 1.
Please enter the information indicated below.

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Mobile Phone::

Required 2.

Why do you want to be a member of the Dare to Lead Mastermind Group? 
 

1000 characters left.
Required 3.

What do you hope the impact of the group will be on your life?
 

1000 characters left.
Required 4.

How would you describe your level of commitment to attending the monthly meetings from 8:30AM to 10:30AM?  Do you have any concerns about this commitment?
 

1000 characters left.
Required 5.

You read the description of the group and decided you wanted to be a part of it.  What about the description of courageous leadership appeals to you? 
 

1000 characters left.
Required 6.

Which of the following best describes you? This will provide us with a general view of style.  Our goal is to create a diverse group of members to provide opportunities for differing views that will enhance your mastermind experience.
You place emphasis on accomplishing results, the bottom line, confidence.
You place emphasis on influencing or persuading others, openness, relationships.
You place emphasis on cooperation, sincerity, dependability.
You place emphasis on quality and accuracy, expertise, competency.
Other  
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Required 7.

Please send your bio to Karen Senteio at karen@theheartofcommunication.net and then review and check the commitments below.  If you have any questions, please list it in the 'other' section.
I will make every effort to arrive on time and participate fully in the meetings.
I will work with the other mastermind group participants to create shared group engagement bylaws.
I will add all the meetings to my schedule and make it a priority to attend every meeting.
The full pay investment of $2995 for a full year program is due upon acceptance. There are no refunds after July 15, 2019.
The meetings are in-person. A dial-in will be provided for in-climate weather.
I will read the book Dare to Lead as it is the foundation to many of the discussions.
I will take the Daring Leadership Assessment to provide benchmark information for my own development.
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