Thank your for your interest in Reboot Circles.


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First name *

 
Last name *

 
Website

 
Company Headquarters Location

City and state (or region) where your organization is located (even if you are not). Ex: NY, NY
 
Company name *

 
What is your role or title?

 
Is this your first time in this role or position? *

     
 
Company size *

Number of employees in your organization

 
About the company *


 
Were you encouraged to apply by someone inside your organization (colleague, supervisor, investor, board member)?


 
Who encouraged you to apply?

 
Tell us a little about yourself and your company: *

(We will use this as a brief bio when introducing you to your group.)
 
What are your most significant business challenges? *

 
As a leader, what do you struggle with most? *

 
What kind of support are you looking for from a group of peers? *

 
What are three qualifications and/or characteristics most important to you in a group of peers? *

We carefully curate all of our groups to give you the best chance of connecting with your peers. We will do our best to accommodate as many of your preferences as possible.
 
Which group are you applying for? *


 
The Head of People group will meet on the 1st and 3rd Fridays of each month (12-1:30pm ET | 9-10:30am PT). Group members will commit to meeting together for six months (12 meetings). Please confirm that this will work with your schedule.

     
 
The CEOs in Transition group will meet on the 2nd and 4th Tuesdays of each month (12-1:30pm ET | 9-10:30am PT). Group members will commit to meeting together for six months (12 meetings). Please confirm that this will work with your schedule.

     
 
The CMO/Head/VP of Marketing group will meet on the 2nd and 4th Fridays of each month (12-1:30pm ET | 9-10:30 PT). Group members will commit to meeting together for six months (12 meetings). Please confirm that this will work with your schedule.

     
 
The Women Startup Leaders group will meet on the 2nd and 4th Tuesdays of each month. Group members will commit to meeting together for six months (12 meetings). Please confirm that this will work with your schedule.

     
 
The CTO/Head/VP of Engineering group will meet on the 2nd & 4th Fridays of each month (11:30am-1pm ET | 8:30-10:00am PT). Group members will commit to meeting together for six months (12 meetings). Please confirm that this will work with your schedule.

     
 
My preferred meeting days (groups meet twice monthly): *


 
The best time(s) of day for me to meet: *


 
Please give any additional information about your availability that would be helpful:

 
Please upload a photo/headshot to use when we introduce you to your group.

We will only share this file once you've been officially placed in a group, and it will only be shared with your group members via email.
 
How did you hear about Reboot Circles? *


 
Who referred you?

 
Phone *

 
Mailing Address: *

We will ONLY use this once you join a group to mail you group-related materials/resources, thank you notes, etc.
 
Other questions or comments:

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We will be following up with an email shortly.


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