test × Open Form × 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. Reserve Your Spot
