Mastermind Application

Mastermind Application 2.0

Name

First Name

Last Name

Company/Law Firm

Mobile Phone

Office Phone

Address

City

State/Province

Zip/Postal

Country

Law Firm Info

How many lawyers in your firm?

How many non-attorney staff members in your firm?

Your Assistant’s Name

Your Assistant’s Email Address

Your Assistant’s Phone Number

Total Annual Revenue Last Year

What are your top 3 Areas of Practice?

Do you have in-house personnel coordinating your marketing?

Do you take referrals from other firms?

Do you refer cases out and collect referral fees?

Management

List the 3 most successful management practices or procedures you’ve implemented in the last 12 months:

List the 3 most frustrating aspects of managing your practice you’ve experienced over the last 12 months:

In what areas of management would you like to grow?

Marketing

Do you have a method for tracking marketing returns?

What program or method do you use?

List the 3 most frustrating aspects of marketing your practice you’ve experienced over the past 12 months:

List the 3 most successful marketing practices or initiatives you’ve implemented in the last 12 months:

How would you define your current strategic marketing plan – and how would you describe your current budget for marketing (aggressive, minimal, etc)?

How much did you spend on marketing last year?

What % (if any) of your marketing budget do you allocate for each:

Billboards

Client Newsletter

Lead Companies

Client Surveys

LSA

Radio

PPC

SEO

Social Media

Direct Mail

Other

In what areas of marketing would you like to grow?

About You

Would you be comfortable sharing information on your firm’s marketing & management with your market-exclusive Mastermind group?

Yes

What do you hope to gain from membership in our Mastermind group?

Number of hours you currently work on average per week:

Number of hours you would prefer to work on average per week:

Percentage of your worktime you rank as productive:

Number of hours you currently work on the business side of your firm per week:

How many weeks vacation do you take on average per year?

How did you hear about PILMMA?

What prompted you to contact us?

I understand that this is an application for Mastermind Membership and Final Approval will be based on a decision by President/Founder Ken Hardison. I acknowledge that I will be notified of their decision at their earliest convenience and further payment information will be supplied to them on approval of membership into PILMMA’s Mastermind Group.

Non-Disclosure Agreement: By submitting this app;ication I acknowledge that the information discussed about my business and other PILMMA Mastermind Members must be kept completely confidential. I agree not to disclose confidential information of the other Group Members, directly or indirectly, under any circumstances or by any means, to any third party, without express, written consent obtained in advance. Each Group Member agrees that they will not copy, transmit, reproduce, summarize, quote, or make any commercial or other use whatsoever of the other Members’ confidential information. Each Group Member agrees to exercise the highest degree of care in safeguarding the confidential information of the other Members against loss, theft, or inadvertent disclosure and agrees generally to take all steps necessary to ensure the maintenance of confidentiality.

I acknowledge I have read and understand the the terms noted above.

I acknowledge

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