Mastermind Application Form by Chris Corey | Jun 29, 2019 Sales Leader Mastermind Group Application Company First Name * Last Name * Company * What is your company's primary industry? * Position/Title * How long in your current position? * What position/company did you hold before your current one? Email Address * Phone Number * Street Address * Street Address (line 2) City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Describe your company and industry: 1) the product or service you sell; 2) the problems you solve for customers; 3) Your ideal customers (in terms of their industry, their title/role and why you can help them). * Describe your position and primary responsibilities, as they relate to the outcomes you need to bring to your company. * What parts of your current job do you find most gratifying and what excites you at your job? * What are your biggest challenges in your current role and what in what topical areas are you looking to gain insights from your peers? * What are three outcomes you hope to gain being part of this mastermind group? * If you were to become a member of the Sales Leader Mastermind Group, what insight and experience would you bring that would be valuable to the group? * Next Steps: We will generally make acceptance decisions as applications come in and notify applicants as soon as possible. If you are invited to join the group, we will ask you to sign a short participation form which includes a non-disclosure agreement (all mastermind discussions are kept confidential) and pay the registration fee. Thank you for your interest in the Sales Leader Mastermind Group!