Fall 2016 Mastermind Group Application Your Full Name * Your Business Name or Occupation * Company Website * Email * Number of years in business * Which Mastermind Group are you interested in joining? * Wildcard (open topic) Public Speaking Have you ever been part of a Mastermind Group before? Yes, a formal group that met regularly Yes, an informal group that met sporadically No OtherOther What's your experience so far with public speaking? How do you hope to benefit from participation in the Mastermind Group? * Please check all of the following to indicate your understanding of your participation in one of The Introvert Entrepreneur Mastermind Group:: * I understand that if I am invited to be a member of either Mastermind Group, I am making a committment to participate as fully as possible through the bi-weekly video conference calls and online discussion group. I understand that anything shared in the Group (online or during the meetings) is to be held strictly confidential and may not be used to solicit fellow participants for business. The Circle is a "no selling" zone. I understand that my investment is $275 per month, as a recurring payment (unless other arrangements have been made) I understand that my committment is for a 9-month period. I understand that I will be contacted by Beth for a follow-up conversation to determine if there's a good fit with the group, and that submitting this form does not guarantee me a spot in either group. Please share any additional information or questions here: If you are human, leave this field blank.