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LEAD Membership Interest Form

We believe that a meaningful membership experience is built on understanding and synergy. Your input will help us curate our LEAD Mastermind Groups and design experiences customized to meet the needs of our members.

First Name*

Last Name*

Email*

Organization*

LinkedIn Profile

Are you interested in joining the 3x3 Executive Leadership Cohort? (Complimentary for LEAD Members)*

Cohort 1: September 26, 2023, October 31, 2023, and November 28, 2023

Cohort 2: February 27, 2024, March 26, 2024, and April 30, 2024

Either Cohort

Not Interested

Are you a decision maker in your role at your organization?*

Yes

No

Unsure

What are you hoping to gain from being a LEAD member?*

How do you envision contributing to/collaborating with other LEAD members within our community?*

I acknowledge that the LEAD Membership is not intended for solicitation.*

I agree