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Activate! Inner Circle Application

Please complete this application form in full. When you submit this form you will be taken to our online scheduler so you can book an Application Review Call. Please allow at least 24 hours after submission so we can review your application.

First Name*

Last Name*

Best Phone Number to Contact You*

Best Email to Contact You*

Tell me about your business/field*

Tell me about the challenges you are facing in your business*

Have you previously participated in a mastermind? Tell me about your experience and the outcome of that program.*

Looking forward 1 year or more from now, what would you want to have accomplished or in progress that a mastermind could facilitate for you?*

Our masterminds are for a hand selected group of business leaders who want to make a positive difference in the world and lead or grow a successful business at the same time. Please describe why you would be a GREAT fit in our program.*

Please mark the checkbox to acknowledge that you are aware that our coaching, mastermind and VIP Intensives are paid programs. After submitting this application we will meet for a conversation so we both have the clarity to determine next steps.

Check Here*

Book Your Application Review Call

When you click the Submit button below, you will be taken to our online scheduler so you can book your Application Review Call. During this call we will answer all of your questions, ensure there is a good fit and identify next steps for you. Please allow at least 24 hours so we can review your submission.

Please verify your request*