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Full Name*

Email Address*

Phone Number*

Tell me briefly about your business. (who are your clients, what do you do, why this work is important to you, etc)*

What is the most important result or outcome for you to experience/achieve if given the opportunity to join our accelerator?*

Why is that outcome important to you right now?*

What hardships/challenges both professional/personal are you experiencing because you haven’t attained this goal?*

What have you done to reach this goal in the past (or right now)? What has or has not worked?*

What is your current monthly revenue?*

What is your target monthly revenue?*

How much are you willing to invest in mentoring, strategy, and training support for your business?*

Is there anything else you would like us to know?