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Please submit your application to The Bloc no later than December 17, 2022.
If selected, a program fee of $845 will be collected prior to the cohort starting date. Please let us know if you need assistance with the program fee.
Apply Here
First Name
Email
Phone
Company
Position
Last Name
How did you hear about the program?
Friends
Social Media
Employer
Other
Referral
Select an application type
Executive / Mentee
Board Member / Mentor
If Other or Referral, plase indicate below.
Tell us about yourself, and why you are the right candidate for the program.
Do you need assistance with the program fee?
Yes
No
Explain why you need assistance with the program fee.
What motivated you to be a board member / mentor in the personal board of directors program?
What do you enjoy most while mentoring others?
What are some strenghts that the executives / mentee could benefit from ?
What are your short-term goals?
What are your long-term goals?
What interested you about having a personal board of directors?
What areas of your life do you want to grow in?
What skills do you want to develop?
If you could go back in time, would you choose a different career?
Upload File
Upload Resume/Bio (Max 15MB)
I Accept the Confidentiality & Mentoring Agreements
here
SUBMIT
Thanks for applying!We’ll get back to you soon.
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