Black Circle Application

The Private Party

BLACK CIRCLE MEMBERSHIP APPLICATION
"What you build alone dies with you. What we build together becomes the blueprint."
SECTION 1: IDENTIFICATION
Full Name*
Preferred Name if different
Date of Birth*

MonthDayYear
Date
City, State, Country of Residence*
Email Address*
example@example.com
Phone Number*
SECTION 2: INTENTION
Why do you seek entry into the Circle? What legacy do you seek to leave behind here and what do you hope to become? *
SECTION 3: FOUNDATION
Current Occupation or Role*
Primary Skillset Area of Expertise
Describe one challenge you have overcome and what it taught you
List any personal or professional accomplishments you are proud of
SECTION 4: YOUR VIEW OF BROTHERHOOD
How do you define brotherhood?*
What does loyalty mean to you in action not just words?*
What are you currently doing to progress mentally financially spiritually and physically?*
What would you bring to the Circle?*
SECTION 5: GUIDING BELIEFS
What guides you beyond the physical: faith, principle, and or inner knowing?*
SECTION 6: COMMITMENT
"This is where your word becomes weight. Are your actions built to match it?"
Signature*

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Date*

MonthDayYear
Date
Referring Member if any
Should be Empty:

The Private Party