board rooM Application

Thank you for taking the time to submit this short application to help us evaluate a mutual-fit for you and the Executive Community. It should take no longer than five minutes. We will get back to you within 48 hours! The next step if you are accepted will be to secure your seat by submitting annual membership dues. If for any reason, we don't think you're a good fit, we will let you know why. All communications will come from Blake to the email you share with us below!

"*" indicates required fields

Name*
This should be the email you'd like to receive all Board Room communications and future event calendar invites to
Treat this as you sharing a short bio of yourself that may be used to introduce you to community members and live in the directory. We suggest you share your current and key past roles, a fun way you spend your free time, and what you're looking forward to in the Board Room.
Feel free to leave blank if you're happy for us to pull your LinkedIn photo. Otherwise, please upload your preferred headshot.
Max. file size: 24 MB.
If you were asked to share a short, 10 minute presentation on a topic at a future Executive Briefing, which would you choose?
Which membership benefit are you most looking forward this year?*
Please select your top two choices
Mailing Address
We may send some fun things your way at some point this year
Blake would love to text you the most pressing updates at some point this year
Thanks for applying to be a member of this community. We believe great early members, inspire great future members. If you are accepted to join, may we add you to the community directory and/or share that you’re a part of this community in future marketing materials?