NAWBO Charlotte Mastermind Group Application Form

Thank you for your interest in joining a NAWBO Charlotte Mastermind Group! Please fill out the form below to help us understand your business and determine the best group fit for you. Your information will be kept confidential and used only for the purpose of forming Mastermind groups.

Personal Information

Full name

Email

Phone

LinkedIn Profile URL (Optional)

Company Name

Title/Position

Website

Address

Street Address City, State, Zip Code

Business Information

Business Industry

NAICS Code (if known)

Brief Description of Your Business

Number of Employees

Annual Revenue

Stage of Business

Business Focus

B2B (Business to Business)

B2C (Business to Consumer)

Both

Mastermind Group Preferences

Preferred Meeting Location

Select as many apply.

Preferred Meeting Frequency (Select all that apply)

Weekly

Bi-weekly

Monthly

Select as many apply.

Preferred Meeting Time (Select all that apply)

Morning

Afternoon

Evening

Group Focus Preferences (Select all that apply)

Do you have any specific goals or challenges you hope to address in the Mastermind group?

Additional Information

Why do you want to join a NAWBO Charlotte Mastermind Group? (Please provide a brief explanation)

Have you participated in any Mastermind groups before?

Yes

No

If yes, please provide details about your previous experience.

How did you hear about the NAWBO Charlotte Mastermind Program?

Are you willing to commit to the regular attendance and active participation required by the Mastermind group?

Yes

No

Is there anything else we should know to better match you with a Mastermind group?

Agreement and Signature

By submitting this application, you agree to actively participate in the NAWBO Charlotte Mastermind Program, share your insights, respect the confidentiality of the group, and support fellow group members in achieving their business goals.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.