Let's Get To Know You A Little Better.

Step 1 of 10

10%

Birthday (Month/Day)*
Website URL*
1. Please describe your business as it is right now.*

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 year to feel happy about your progress?*

6. What was your approximate gross business revenue for each of the indicated years? (Please note this is completely CONFIDENTIAL):
2022*
2023*
2024 (forecasted)*

7. Tell me about yourself and why this mastermind would be a great fit for you.*

8. Briefly describe why YOU are a good candidate for this group and what you feel you would contribute to a mastermind of committed, invested entrepreneurs.*

9. Anything else you would like to share with me as I am considering you for this program?*

ARE YOU READY???
I am ready for BIG success*
- Not sure
- Hell yes!
I am 100% solid in my commitment to do whatever it takes*
- Not sure
- Hell yes!
I am not a complainer*
- Not sure
- Hell yes!
I make tough choices*
- Not sure
- Hell yes!
I keep going even when things are hard*
- Not sure
- Hell yes!
I honor my agreements*
- Not sure
- Hell yes!
I give as much as I take or more*
- Not sure
- Hell yes!
I don't want to wait any longer*
- Not sure
- Hell yes!
Enter your name and email, and click the button below to continue your application
Name*
First Last
Email*

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