Member Bio Intake

Member Bio Intake Form

Please complete for our member directory

* Indicates required field

Member Contact Information

Name *

First

Last

Email *

Phone Number *

Member Photo *

Max file size: 20MB

Bio Questions

Where are you from & where do you live? *

What's your life like (who & what do you love)? *

What you've learned from life? (advice that might offer more clarity or make life easier or better for someone else) *

What's your favorite quote (s)? *

Optional - Please Choose at least two

What is your dream project (s) or long range goal(s)? (can be personal, community, business, philanthropic) *

What business do you own or operate or support? *

What are your strengths(if your just too humble to say, then think about what other people have told you you're great at or that they love about you) *

What is your dream vacation? *

Favorite Podcasts, Books, Training Etc. *

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