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.

What is your name?

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* 1. What is your name?

At what email address would you like to be contacted?

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

At what phone number would you like to be contacted?

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

What is your Facebook URL?

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* 4. What is your Facebook URL?

Why do you want to start a new business?

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

Why do you want to be mentored by Emily?

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

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

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

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

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

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

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

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

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

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