Confidential Assessment Form

Just fill in your answers below and click the submit button. 
You then receive an email with confirmation.
Plus you get an initial training video on

The Philanthropy Leader Blueprint™

Please Complete This Short and Confidential Assessment Form
(only 9 questions that already help you forward)
Email Address:
Phone Number:
Company Name / Name of Organization
Website or LinkedIn URL (if any)
1. Please describe your leadership role as it is right now. 
(e.g. Founder, CEO, President, Thought Leader, other... )
2. What are your top three most pressing concerns?
3. Who or what do you think are your biggest obstacles to reaching your current goals?
4. Specifically, how large can you see yourself growing with the support of proper mentoring and masterminding?
5. What goals would you like to achieve:
* In the next 90 days? 
* In the next 6 months?
* In the next year?
6. Are you ready, willing and able to invest time, money and energy now in a substantial Mastermind training program so you can reach those goals? 
* If yes, why is this so important for you right now? 
* If no, why not/what is the problem?
7. Tell me a bit about yourself and why this Philanthropy Leader Blueprint is a great fit for you.
8. Briefly describe why YOU are a good candidate for this Mastermind training program and what you feel you would contribute to a Master Mind Alliance with committed, invested, like-minded and like-hearted leaders.
9. Anything else you would like to share with me as I am considering you for this program?

Your Secure and Confidential Assessment Declaration

"Please accept this as my assessment to become accepted as one of your exclusive VIP elite members of The Philanthropy Leader Blueprint™ Mastermind Training Program."

"I understand that you will use this assessment to select the ideal candidates of like-minded and like-hearted philanthropy leaders who are committed to wealth, well-being and integral wellness for people and planet, and that you will let me know within 21 business days whether I've been accepted and selected for enrollment in the program."

"Philosophy as 'The Love for Wisdom' translates into an attitude of Philanthropy - Love for Humankind. 
With Leadership Mastermind Philosophy this can be turned into a practical and productive code of conduct that works for the greater benefit of all."
Maurits van Sambeek, MA.
Philosopher for Philanthropists
Living in Laarbeek, the Netherlands

We behold the future of our world within our hands

All Rights Reserved ©2021 Maurits van Sambeek