Please fill out the following application; it is only 10 questions and shouldn't take long to complete. Please be thorough in your answers. Once your application is submitted, I will review it and contact you as soon as possible.

* 1. What is your name?

* 2. At what email address would you like to be contacted?

* 3. At what phone number would you like to be contacted?

* 4. What is your Facebook URL?

* 5. Why do you want to start a new business?

* 6. Why do you want to be mentored by Emily?

* 7. Are you already with a company? If so, why do you have a desire to change companies?

* 8. How many hours per week are you willing to devote to working your business?

* 9. What is your monthly income goal at the end of 90 days?

* 10. Are you able and willing to invest $695-995 to start a business?

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