Affluential Circles | Request to Join

Thank you for your interest in joining the Affluential Circles community!

We're excited to see you Learn, Grow, and Contribute as you participate in this one-of-a-kind UHNW community.

PLEASE FILL IN AS MUCH OR AS LITTLE INFORMATION ABOUT YOURSELF AS YOU FEEL COMFORTABLE AND HAVE TIME TO FILL IN RIGHT NOW.

If you prefer to get more acclimated to the community before sharing the requested details in this form, just fill in your First Name, Last Name, and email address.

However, please know that the more details you fill in about yourself in your profile, the more likely others in the community (who are looking to connect with people like you) will be able to find you.

Kind regards,

Al Gregory

[email protected]

435-671-8891

Sign up with your authorized domain address

Or Request to Join

* Required fields are marked with an asterisk

First name *

Last name *

Maiden name

Primary email *

Headline / One-Line Introduction

Industry Segment

LinkedIn profile url

Website

Member Type(s)

Introduction

Years of Industry Experience

Primary Reason for Joining Affluential Circles

Industry Designations

Areas of Expertise

Average Net Worth Range of Clients

Top Personal Competencies

Top Leadership Competencies

Check General Areas of Expertise

Add OTHER main areas of expertise

Check Specific Areas of Expertise

Add OTHER specific areas of expertise

Culture | Responsibilities | Conditions

Check top 3 career motivators

OTHER - if top 3 career motivators weren't listed above, list here

What were your favorite boss' two or three best qualities or characteristics?

Remote vrs in-office (preference)

Working in groups vrs in isolation (preference)

Client facing work (Preference)

Open to relocation?

Percentage of work responsibilities attached to sales or business development?

Open to contract or fractional work?

Please add any additional information regarding your choices in this section

Desire to Lead or Manage?

Personal & Professional Development

OTHER - other areas of interest in your personal development

OTHER - Other areas of interest in your professional development

What two areas of personal development are you working on currently?

What two areas of professional development you're working on currently?

Personal mobile

Resume

Captcha

Keep this blank