Thank you for applying for The Impact Amplifier Diamond Mastermind


Please complete the form below.  Once the form is completed, it will be reviewed.

Following review, you will be contacted by email to advise whether you have been approved for the acceptance interview.

Thank you and I look foward to working with you.



Phone number

Email address

Role title and time in current role

What is the biggest challenge you are facing right now?

If you could wave a magic wand and it was fixed, what would be different?

On a scale of 1-10, with 1 being lowest and 10 being highest, how committed are you to this change?