Full Legal Name *

Phone *

Email *

Childcare Program Name *

Your Role (Owner/CEO/Director) *

Years in Operation *

Number of Staff *

Current Enrollment Capacity *

Current Quality Rating (if applicable) *

Why do you want to join The Culture Collective specifically? *

What is currently not working in your leadership or culture? *

What have you already tried to fix it? *

What does “high-quality leadership” mean to you? *

Are you willing to implement structure, systems, and accountability—even when uncomfortable? (Yes/No) *

Yes

The Culture Collective is a premium coaching space. Are you financially prepared to invest consistently in your leadership development? (Yes/No) *

Yes

Are you willing to show up prepared, coachable, and accountable? (Yes/No) *

Yes

Acknowledgement *

Submitting this application does not guarantee acceptance.