Village Member Application Form

The Minority Mastermind Village Membership Application

Applying does not guarantee acceptance.
The Minority Mastermind LLC
I am interested in:
Individual Annual Membership Investment: $299

Business Annual Membership Investment: $599
Name

First NameLast Name
Email address
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Notes about individual membership privileges: Our members get discounts on all programs and networking events. A complimentary Masterclass is included monthly, plus one guest is welcomed.
- Business/Organization name
- Website
- Position
- Business Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Office Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Notes about business membership privileges: Business members are allotted one additional complimentary invitation to most programs and networking events, plus a company profile listing to expand your reach within our community. On your profile page is where you can upload your logo, link to your site, and share your upcoming events and latest news.
- Duration of membership From (date of membership approval) to (date of membership renewal). Club memberships are renewed annually.
- Payment by credit card or PayPal
- Tell Us More About You
  
  Answer questions honestly and to the best of your ability.
- Where did you learn about The Minority Mastermind?
- Why does The Minority Mastermind need to consider you being a member? What do you bring to the table?
- What is your hope for the Black & Hispanic community?
- Current income bracket
- What do you have an excess of and are willing to contribute:
  
  Other
- How often do you read? (Pick best answer)
  
  Other
- Do you or have you in the past had a mentor?
- Do you currently earn passive or residual income?
- What are your expectations of being a Village Member?
- How can the village best support you?
- The one thing I encourage the village to come to me for is blanks*.
- Upload Resume/ CV
  
  Cancelof
- Upload a picture that best represents who you are.
- Should be Empty:

The Minority Mastermind Village Membership Application

Tell Us More About You