*1.Your Full Name (and please specify if you have a differing social media name)(Required.)

2.Who introduced you to our mentorship? (Full name please)

3.What is your email address for welcome email please.

*4.What are you currently doing to produce income?(Required.)

*5.Have you ever had your own business before and what did/do you do?(Including MLM/Network Marketing, Online biz, Tradesman, Bricks & Mortar etc.)(Required.)

*6.What's going on in your life right now that has you looking for more money or time?(Required.)

*7.If money was no object what would you be doing more of.....? Travel/ Helping The Kids/Grandkids/Start A charity/Invest Etc(Required.)

*8.What Income Goal are you committed to creating in the next 12 months?(Required.)

10k - $50k

50k - 100k

100k-200k

200k plus

*9.What would this mean to you when you achieve it?(Required.)

*10.What do you feel is your biggest obstacle to achieving this future?(Required.)

*11.If you are accepted into the mentorship are you ready to start by end of May?(Required.)

*12.On a scale of 1 -10 with 1 being 'I'm a little Interested' & 10 being 'I'm Ready To Do What It Takes To Achieve My Goals', where would you rate yourself?(Required.)