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1. Contact Info: (Required.)

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2. How would you identify yourself in this business?

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3. Number of contractors and employees on your team?

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4. What is your customer base/user base/subscriber list? (whichever applies)

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5. Brief Bio (Required.)

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6. Briefly describe your current business: What stage is it in? Size? Industry/Niche Served?
 (Required.)

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7. What products and/or services do you provide?

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8. What is was your income and your company's revenue in 2013? How about 2014?

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9. What are your business goals this year and next year? What are your income and revenue goals? What are your marketing and sales goals? What are your leadership and team goals? (Required.)

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10. Please describe your professional life as it is right now. What's working? What's not working?

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11. Please describe your personal life as it is now. What's working? What's not working?

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12. What are you passionate about brining into the world? What is your life's purpose?

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13. Who are your top mentors, teachers and role models (if any)?

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14. What social, environmental or humanitarian causes are you passionate about? How do you want to make a difference in the world other than your immediate business?

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15. You've just finished the program. Describe your perfect outcome as if everything you dreamed of has already happened. What does your life, income and business look like? Be specific in terms of business, revenue growth, lifestyle, mindset and relationships.

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16. What are your professional and personal goals for the coming year? Be specific. (Required.)

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17. What is your greatest challenges? (Required.)

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18. If you could improve your ability to relate with, connect to and interact with people in a way that you cannot now, what would that be?

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19. What skills , experience, knowledge or resources will you 'bring to the table to support the growth of this group? Be specific. (Required.)

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20. What skills, experience, knowledge or resources are you hoping to gain from this group? Be specific. (Required.)

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