Mastermind Member Application - Executive Authors

Today's date *

How you learned about this mastermind *

Your name *

First

Last

What you like to be called *

Gender

Email *

Phone number *

How you prefer to be contacted *

Where you are located and your time zone *

Your active social media forums and how to reach you

If you’ve ever authored a book, tell us about it

Stage your upcoming business-building book is in (Choose all that apply.) *

Other (stage your book is in)

Business name *

Your role in the business *

Number of years at this business *

What does the business offer and to whom? *

Business website *

What are your business/growth goals and success measures for your upcoming book?

Who are your book's audiences that are related to those goals?

What's your working title & subtitle?

Planning to use a publisher? *

Which roles have you filled on your book team? *

Which roles do you have left to fill? *

How will you get your book and business aligned and working together toward your growth goals? *

What do you hope to accomplish during/your purpose in joining this 1-year mastermind? *

How will you determine/measure this mastermind’s success? *

What can this group help you with in the first 90 days? *

What are your other goals for the next 12 months? *

What are your longer-term goals?

Anything else you want us to know about you, your business and your book?

Will you make attending our events and getting to know and support other members a priority? *

What can we do to enable you to commit to this?

Will you commit to the Mastermind Values and Rules at https://executiveauthors.com/mastermind-and-inner-circle-values-rules? *

Will you be able to pay the 2024 fee of $4,000 prior to the group’s first January 2024 meeting? *

Consent *

I consent to this website storing my submitted information so the site's staff can respond or request additional information.