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Nonprofit Executive Mastermind Group
Interest Form
*
1.
Contact Info
(Required.)
Name
Title
Organization
Email
Phone
2.
How long have you been in your position?
<1 years
1-2 years
3-5 years
6-10 years
11-15 years
15+ years
3.
Number of employees in organization
1-5
6-10
11-25
26-50
51-99
100+
4.
Why do you want to be a part of a Mastermind group? What are the top three goals you want to achieve by being a member?
5.
How did you learn about this opportunity?
LinkedIn
Facebook
Networking Event
Email Newsletter
Word of Mouth
Nonprofit NetWalk
Other
6.
What topics would you like our group to address over the course of the next six months? (rank each topic in order from most to least interest)
