Your Name
*
First Name
Last Name
E-mail
*
example@example.com
Business/Job Title
*
Phone Number
*
Do you own a business, or are you a nonprofit Executive director or CEO?
Yes
No
Are you open to sharing your experiences and ideas with other groups members in the strictest of confidence?
Yes
No
Is your business or organization based in Muncie/Delaware County?
Yes
No
Will you attend each meeting every two weeks starting September 7, 2023? (You must commit to attending seven of the eight sessions to be held from September - December 2023)
Yes
No
Can you meet with this group during lunchtime (between 11:30 - 1:00 pm, 90 minutes max)?
Yes
No
Please provide a brief description of your business/organization, your roles and responsibilities, and length of time in this capacity.
What would be your motivation to be part of a group such as this? What do you feel feel you could offer this group? What would you hope to receive from this group?
Thank you!
Please feel free to bring your lunch!
Submit
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