The Wise Women's Council — Startup Pregnant Mastermind
2019 APPLICATION FOR MEMBERSHIP

Thank you so much for applying to this 9 month mastermind program! It's designed for women entrepreneurs to learn, discover, recharge, and deepen our connections with each other. Applications are open February 1, 2019. We begin March 4, 2019. We will be reviewing applications on a rolling basis. Don't delay — if you're interested, apply as soon as possible.
Sign in to Google to save your progress. Learn more
PART 1 — CONTACT INFO
Your first name: *
Your last name: *
Your email address: *
Location (State or Country) *
Website (if you have one): *
LinkedIn Profile (if you have one): *
Facebook Profile: *
Phone Number: *
Skype Username: *
PART TWO — YOUR LIFE + DREAMS
RIGHT NOW LOOKS LIKE — What do you currently spend your time doing? (Work, parenting, leisure, other) *
WHY YOU WANT THIS — Why does a group mentoring and mastermind group appeal to you? *
WHAT'S STUCK — What are the biggest challenges getting in your way or holding you back? *
BRAG A LITTLE — What results or success have you already achieved in your business and work? *
WHERE YOU'RE GOING — What vision do you have for your business or work in the next 6 months to a year? *
I WANT TO FOCUS ON — What project or puzzle do you want to focus on while we work together? *
YOU AND ME — How did we first meet? When did you first come across my work? Have we worked together before? *
WANTS + DESIRES — Anything else I can do to design a great experience especially for you? *
Anything else you want to share with me?
PART THREE — LOGISTICS
How enthusiastic are you about joining this mastermind? *
A fair amount of positive feelings
Unbelievably excited! So stoked! Sign me up now!
Have you used Slack before? *
I am available and can generally make the following times (check if yes): *
All times are in Eastern Daylight Time (EDT)
Required
Do you need additional time options for the Live Coaching Calls? Check all that you can make, below: *
If enough people request a second time slot, we will add an additional time slot. Check the options that work for you below. (This is not a guarantee that the time will be available, but we will do our best).
Required
Are you interested in learning about the Community Lead Work Study program? *
The Community Lead program is a small group of dedicated members who commit to helping build the community through weekly posts and helping out other members. If you select "yes," we'll be in touch with more information if you are a good fit!
Required
Are you interested in adding 1:1 coaching with Sarah or another coach throughout the program? *
The only coaching available through the program is through the monthly group coaching. If you'd like additional 1:1 time with Sarah, please indicate so below so we can send you more information. 1:1 coaching with Sarah will be an additional fee.
Required
What skills and services can you offer back to this group?
How stable is your financial and personal life right now? *
How did you find out about Startup Pregnant and this Mastermind? *
What is your Instagram social media handle so we can follow you? (Please paste the full link)
Any additional information I should know?
Who can we thank for sending you here?
If a friend invited you to apply, put their name here. For every friend you invite that joins, you can get an additional $100 off your program tuition.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms