Phone number *
Phone type Mobile Home Work Other
Do we have your consent to send texts to you? *
Select… Yes No
Gender *
Select… Male Female
Marital status *
Select… Single Married Separated Divorced Widowed
Household members
+ Add adult + Add child Description of organization *
Industry *
Select… Accounting/Financial Services Aerospace/Aviation Transportation/Logistics Computers/Technology Telecommunications Agriculture Construction Education Entertainment Medical Hospitality Energy Manufacturing Online/Ecommerce Insurance Consultant
Are you on social media?
Select… Yes No
Company annual revenue
Select… $0- $249,000 $250,000 - $499,000 $499,000 - $2M $2M - $10M $10M - $50M $50M +
Personal income
Select… $0 - $49,000 $49,000 - $100,000 $100,000 - $250,000 $250,000 +
State *
Select… Alabama Alaska Arizona Arizona Arizona Arkansas Arkansas Arkansas California California California Colorado Colorado Colorado Connecticut Connecticut Connecticut Delaware Delaware Delaware Florida Florida Florida Georgia Georgia Georgia Hawaii Hawaii Hawaii Idaho Idaho Idaho Illinois Illinois Illinois Indiana Indiana Indiana Iowa Iowa Iowa Kansas Kansas Kansas Kentucky Kentucky Kentucky Louisiana Louisiana Louisiana Maine Maine Maine Maryland Maryland Maryland Massachusetts Massachusetts Massachusetts Michigan Michigan Michigan Minnesota Minnesota Minnesota Mississippi Mississippi Mississippi Missouri Missouri Missouri Montana Montana Montana Nebraska Nebraska Nebraska Nevada Nevada Nevada New Hampshire New Hampshire New Hampshire New Jersey New Jersey New Jersey New Mexico New Mexico New Mexico New York New York New York North Carolina North Carolina North Carolina North Dakota North Dakota North Dakota Ohio Ohio Ohio Oklahoma Oklahoma Oklahoma Oregon Oregon Oregon Pennsylvania Pennsylvania Pennsylvania Rhode Island Rhode Island Rhode Island South Carolina South Carolina South Carolina South Dakota South Dakota South Dakota Tennessee Tennessee Tennessee Texas Texas Texas Utah Utah Utah Vermont Vermont Vermont Virginia Virginia Virginia Washington Washington Washington West Virginia West Virginia West Virginia Wisconsin Wisconsin Wisconsin Wyoming Wyoming Wyoming
Region *
Please identify the region where you live and work so we can make program trainings more accessible to you.
Select… West Bradenton East Bradenton West Sarasota East Sarasota South Sarasota North River Anna Maria Longboat Siesta Key Pinellas County Hillsborough County Charlotte County
Do you regularly attend church? *
Select… Yes No
Briefly explain your salvation story (How did you come to know God?) *
Briefly describe your current walk with God (How do you engage your relationship with God today?) *
Tell us about yourself (personally, professionally, spiritually, etc.) *
Regarding church attendance, would you say... *
Regarding Growth Track (If you Attend Bayside as your home Church), would you say...
Regarding church small groups, would you say... *
Regarding serving, would you say... *
Regarding tithing, would you say... *
Have you been involved with other business coaching or mentoring groups? *
List any network groups, business coaching or curriculums you've been involved with. Membership in other groups does not disqualify you. (YPO, Vistage, C12, Convene, etc.)
Which track are you interested in enrolling in? *
Have you reviewed Legacy Business Leaders Tuition information? *
Are you interested in being a group facilitator? *
Select… Yes No Maybe
How did you hear about Legacy Business Leaders? *
Select… Event Invitation | Invited to a Legacy event to learn more Friend / Worth of Mouth Business Colleague / Co-worker / Referral Direct Contact from Legacy Business Leaders Social Media Online post / Facebook Bayside's website / Search Online Gateway Church / Kingdom Business Leaders referral Groups Weekend at Bayside Other
Thank you so much for taking the time to complete this questionnaire. Is there anything else you feel we should know? Please share below: *
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