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Survey

Please take a few minutes to submit your interest in participating in the 5th Big Desk Energy Mastermind (date TBD).

Email*

1.First name*

2.Last name*

3.Twitter handle (full URL)

4.Linkedin profile (full URL)

5.Instagram profile (full URL)

6.Current role?*

Founder

Early employee

C-suite

Other

7.What's your primary skillset?*

Engineering

Marketing

Sales

Finance

Product

Legal

Design

Operations

People

Content

Other

8.What is your company's name?*

9.What is your company's website?*

10.What is the current size of the company? (# of people)*

Less than 10

10 - 24

25 - 49

50 - 74

75 - 99

100+

11.What is the current (monthly) revenue of the company?*

Less than $10,000 /mo

$10,000 - $49,000 /mo

$50,000 - $99,000 /mo

$100,000 - $249,000 /mo

$249,000 - $499,000 /mo

$500,000 - $1M /mo

$1M - $2.5M /mo

$2.5M+ /mo

12.What's something you believe you or your company does extremely well that you'd be willing to share and teach others?*

Characters remaining: 400

13.What are you looking to learn or gain from attending the mastermind?*

Characters remaining: 400

14.What would make the mastermind a 10/10 experience for you?*

Characters remaining: 400

15.Anything else you'd like to mention as to why you'd be a good fit?

Characters remaining: 400

16.If you are selected you are aware the price to attend is $10,000, you’ll need a valid passport to travel to Costa Rica, and the cost does not include travel to and from Tamarindo. Are you still interested in proceeding and submitting your application? *

Yes — Submit my application

Nevermind — I don't want to proceed

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