Apply to Join The Room

1

Personal Information

Full Name*

Email*

Phone

Location

Website / Social

2

Business Snapshot

Business Name

Industry

What does your company do?

Years in Business

Team Size

Annual Gross Revenue

3

Vision & Goals

Be specific. The more clearly you can articulate where you're headed, the better we can connect you with people who've already been there.

Top Goal — Next 12 Months

Second Goal

Third Goal

Where do you want your business to be in 3 years?

4

Bottlenecks & Challenges

Honesty here is everything. The more real you are, the faster we can connect you with someone who has already solved what you're fighting.

What is your biggest bottleneck right now?

What keeps you up at night as a business owner?

If you could solve one business problem in the next 90 days, what would it be?

5

Operations & Leadership

What consumes most of your time each week?

What tasks do you wish you could stop doing?

If you disappeared for 30 days, what part of the business would struggle most?

6

Resources & Connections

The Room is built around one idea — the right introduction changes everything. Help us make yours.

If Justin could connect you with one expert, who would it be and why?

What partnerships, introductions or opportunities are you seeking?

7

Your Fit with The Room

What are you hoping to gain from The Room?

Why are you looking for a community like this right now?

Format Preference

VirtualIn-PersonBoth

How important is networking and connection to your business right now?

7

How willing are you to contribute, share and give back to the community?

8

Success Metrics

This is the most important question on this form. Your answer shapes how we show up for you.

If we spoke 12 months from now, what would need to have happened for you to say “joining The Room was one of the best decisions I made this year”?

Business Growth Assessment & Member Intake