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* 1. Last Name

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* 2. Business Name

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* 3. Email Address

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* 4. Phone Number

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* 5. One sentence description of your business.

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* 6. Number of years in business.

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* 7. 2018 Annual Revenue

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* 8. 2019 Revenue (To Date)

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* 9. What's the business challenge you're hoping this coaching experience will help you to solve?

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* 10. What's the one outcome that if you achieved it by the end of the 3 month engagement, would make the investment worth your money?

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* 11. Is there anything else you'd like us to know in reviewing your application?

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* 13. If you were referred, please list the name of the person who referred you. 

Thank you for your application. We'll contact you within the next 2 - 3 business days. Please click the "Done" button below to submit your application. 

Feel free to reach out to community@foundersofcolor.com with any questions. 
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