Test-Form - Château de Lasfonds

MASTERMIND RETREAT APPLICATION FOR LEADERS REWRITING THEIR NEXT CHAPTER

October 2nd–7th 2025

BASIC INFORMATION

* FIRST NAME

* LAST NAME

* COMPANY NAME

* COMPANY WEBSITE

* LINKEDIN PROFILE

* OTHER SOCIALS (IG / TIKTOK / X)

QUALIFYING QUESTIONS

Please be concise: 2–4 sentences per question

* YOUR STORY
In 2-3 lines please explain who you are at your core.

(e.g. Serial entrepreneur obsessed with ethical AI. Former finance exec turned climate-tech founder. Believer in leading with curiosity.)

* YOUR NEXT CHAPTER
What specific professional or personal breakthrough do you aim to achieve in the next 12 months?

(e.g. Scale my AI startup to $5M ARR, Transition from corporate leadership to impact investing, etc.)

* YOUR IMPACT
What 3 professional accomplishments are you most proud of?

(e.g. Launched X product impacting 1M users, Made X turnover in Y timeframe, Built a culture reducing turnover by 30%, etc.)

* LEADERSHIP DNA
Which 3 core values define your approach to leadership? Name a role model (past/present) who inspires you today?

(e.g. Integrity, resilience, empathy | Jacinda Ardern’s crisis leadership)

We review applications holistically. This isn’t about ‘right answers’—it’s about ensuring this cohort is your transformational match. You’ll hear from us within 7 days of submission. Confidentiality guaranteed.

I understand that my application will be subject to a review process, and I consent to this review as part of the selection procedure for the mastermind retreat.
I understand the logistics of the Leadership Mastermind Retreat, including the investment amount and time commitment it requires. If selected, I agree to fully participate in the program and to pay the associated fees in a timely manner.