First, the Basics

Full Name

Email *

Phone *

Address

Street Address

City

State

Country

Postal code

Do you own a business?

Yep

Not yet—but I will

No, but I help run one

If you don’t own a business, who do you work for and what do you do?

(And don’t say “just a…” If you’re leading people, solving problems, or carrying weight—you’re one of us.)

Website or LinkedIn (if applicable)

(We’re not stalking—we just want context.)

Who You Really Are

What do you do—and what drives you to do it?

(This isn’t a job title. We want to know what burns in your chest.)

What’s something you’ve built, fixed, or led that you’re proud of?

(Could be a business, a team, a family, or something you held together with duct tape and prayer.)

If 'Other', please explain:

(explain it like we’re sitting across the table)

Your Grit

What’s one leadership challenge that tested you recently?

(Give it to us straight. The battle, the lesson, and how you walked out of it—scarred or stronger.)

Where do you know you’ve been coasting—and you’re ready to face it head-on?

(The Inner Circle isn’t for guys hid...)

Where do you want to be 12 months from now—and what’s been in your way?

We’re not here to impress. We’re here to get aligned and get moving.

Let’s Talk Fit

Faith matters here. God is the CEO. Prayer is part of the process. Are you good with that?

Absolutely

Not sure

No, and I’m probably in the wrong place

This Circle will challenge you. There’s accountability, growth, and zero tolerance for ego. Are you ready for that?

Yes. Bring it.

I think so—but I’ve never had it like this

I prefer something softer (and that’s okay—just not this)

Are you willing to invest time, energy, and resources into this level of growth?

Yes. I’m all in.

Maybe—I need more info

No—but I like the idea of it

Anything else we should know about you?

This is your space. Say what needs saying. Or throw in your favorite leadership quote, scripture, or the craziest thing you’ve built. We like stories.