Small Group Coaching Application Type of Application* Small Group Coaching 12 months Slack Only MEMBERSHIP TERMSAll NEW Memberships ARE 12 months.Scholarship ApplicantsScholarships have been given out for 2026.First Name*Last Name*Did someone refer you? If so please share their name.* Email* Cell Phone Number*Street/Mailing Address*City*State*Zip Code*Country*Headshot*Your name and headshot will be added under Members on the CR website.Max. file size: 256 MB. TitleBusiness Name*Business WebsiteFour Word Tagline*For the member page, see examples https://creativesroundtable.com/about/#members.LinkedIn*Copy and paste your LinkedIn profile.Number of years in business*Business Anniversary* Your Birthday* Describe your business structure:*% of subcontracted work*Do you have employees? If so, how many?*Average number of active clients at one time?*Average number of active projects at one time?*Describe your office space: Work from Home / Rent / Shared Space / Own*What does your dream business look like?*What are your biggest struggles in expanding your business to the next level?*How much time (hours) are you able to dedicate to your business development through this group.*For Coaching Groups OnlyWhat would the day be for your Group meeting? Please rank them.*Monday 11am ET with Nancy Ruzow (FILLED) • Tuesday 2pm ET • Wednesday 1:00 pm ET with Danielle Hughes (FILLED) • Thursday 3:45pm ET with Nancy Ruzow (FILLED)What is your time zone?*What kind of support do you need?*What are you most hoping to get out of your CR membership?*If you were not a creative, what would you be?*Favorite social media platform?*Creative mentor/inspiration/hero?*Is there anyone you would like to be in a group with?How did you learn about the CR?Scholarship ApplicantsIf you are looking for a scholarship, please let us know what amount you can afford to pay. $0 is not an option. (SCHOLARSHIPS HAVE BEEN GIVEN OUT FOR JAN-JUNE 2026)Payment plans for Accountability Coaching Groups*Please choose a payment plan, below. By agreeing to this you are responsible for the 12-month fee whether you stay with the group or leave. Payment plans are just a method of payment, not a monthly subscription. Your obligation continues even if you leave mid-term. I agree to ONE payment and the statement above. Payments start on the 15th of the month before you join our groups. I agree to FOUR payments and the statement above. Payments start on the 15th of the month before you join our groups. Payment Commitment & Terms* I understand and agree that I am enrolling in a 12-month accountability coaching program with a total cost of $1,140. I understand that I may choose a payment plan for convenience; however, this is not a monthly subscription, and I remain fully responsible for the entire program fee regardless of participation, attendance, or early withdrawal. I understand that all payments are non-refundable. I acknowledge that by enrolling, I am making a financial commitment for the full program term, and failure to complete the program does not cancel or reduce my payment obligation. I agree that payments will begin on the 15th of the month prior to my group start date, and will continue according to the selected payment schedule until the full balance is paid. have read and agree to the Terms of Service and Program Policies. For Accountability and SlackAll payments are non-refundable. This is not a subscription. You are responsible for the 12-month fee.*This is an accountability group. You will be responsible for your progress. You will succeed if you work toward your goal. I agree All payments are non-refundable. Obligation continues regardless of participation.*The Slack Community is a yearly fee, included in the Group membership. I agree EMAIL LIST*I agree to be added to the Creatives Roundtable email list which might come through EventBrite or Ruzow Graphics. I can unsubscribe at any time. I agree Signature* Δ