Circle Builder Application Form

Launch, lead and grow your own business networking circle(s)—with full support and recurring revenue.

1. Personal and Professional Details

Full Name *

Address

Street Address

City

State

Country

Postal code

Website

Phone *

LANDLINE: (0X) XXXX XXXX , MOBILE: 04XX XXX XXX , INT'L: +XX XXX XXX XXX

ABN

Years in Business *

Company *

Referred by

2. Readiness and Commitment

These confirm the practical alignment before diving into the deeper purpose:

Do you have 5-8 hours per week available to build and run your Circle(s)? *

Yes

No

Are you prepared to invest $2,000 AUD to activate your Circle Builder license? *

Yes

I'd like to discuss options

Are you open to a 12-month commitment and co-creating the future of D32? *

Yes

Not sure

3. Passion + Vision

These help you see if the applicant aligns with D32’s energy, values, and vision.

What draws you to the Circle Builder opportunity? (Short answer) *

What lights you up about building community or convening spaces for others? *

How does this opportunity align with your purpose or values? *

4. Network + Influence

Do you currently have a professional network or group you’re active in? (E.g., clients, business owners, industry circles, online groups) *

Yes - Describe briefly

No – But I’m keen to build one

Describe your current professional network

5. Leadership & Energy

What does leadership mean to you — especially in the context of community? *

What kind of energy, culture, or values would you bring to your Circle? *

6. Harrison Assessment

We use the Harrison Assessment to support your growth and ensure great alignment.

Have you previously completed a Harrison Assessment? *

Yes

No

Not sure

Are you open to completing the assessment as part of this process?

Yes

I'd like more info first

Note: A link will be sent after this form is submitted.

7. Final Alignment

Are you excited to grow something meaningful with us — not just for yourself? *

Yes - I'm in!

Not yet - Still exploring

Anything else you'd love us to know about you?

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