New Year 2021 EEC Application

The Non-Nine-to-Five

New Year 2021 Employee to Entrepreneur Cohort Group Program Application
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How did you hear about The Non-Nine-to-Five? *
What is prompting you to fill out The New Year 2021 EEC Group Program Application? *
Which of the following themes for The New Year 2021 EEC Group Program do you feel you need to focus on? (Please choose at least 1) *

Willingess Commitment Consistency All of the above
What is your Non-Nine-to-Five purpose? *
Please describe your Non-Nine-to-Five business (or the business idea you have)? *
How long have you been in your Non-Nine-to-Five business? *

6 months or less 6 months to 1 year 1 to 3 years 3 years +
How much money have you generated with your Non-Nine-to-Five business to date? (Please answer honestly, there is no judgement here) *

Less than 5k 5k - 10k 10k - 50k 50k +
What is currently NOT working for you in your 9-5 job? *
How is this impacting you on a daily basis? *
Why do you want to be independently employed? *
On a scale of 1 - 10 how badly do you want to quit your 9-5 job? 1 = I don't want to quit my 9-5 job. 10 = It's draining my entire being and I wish I quit yesterday. *

1 2 3 4 5 6 7 8 9 10
On a scale of 1 - 10 how committed are you to being independently employed? 1 = I’m not committed to making money on my own terms. Having a consistent 9-5 job feels right for me. 10 = I’m 100% committed to finding and pursuing my purpose and I KNOW it is not a 9-5 job. *

1 2 3 4 5 6 7 8 9 10
Which of the below "low level energies" are you currently experiencing? (Please mark all that apply) *

self-doubt distraction frustration overwhelm procrastination perfectionism defensiveness difficulty making decisions second guessing yourself not feeling good enough belief that you must work "blood, sweat, and tears" to be successful anxiety depression
Do you believe in a higher power - eg: The Universe, God, Spirit, The Divine, or any other language that resonates with you? *

Yes No
What role does your belief in a higher power play in your life? *
The Non-Nine-to-Fivers I work with are 100% committed to finding/pursuing their Non-Nine-to-Five purpose. They are willing to fully commit, take consistent actions, and make investments of money, time, and energy to pursue their purpose. Are you this type of person? *

Yes No I don't know
The Non-Nine-to-Fivers I work with are completely willing to do "real deep inner work" where we may uncover deep rooted fears, long standing limiting beliefs, and self-doubts. How willing are you on a scale of 1 - 10 to do this type of inner work? 1 = NOT AT ALL WILLING 10= 100% WILLING *

1 2 3 4 5 6 7 8 9 10
Have you ever made a financial and time investment into a rigorous 3 month, 6 month or year long program? *

Yes No
Please explain your answer above. *
If you feel a resonance with Jen's teachings and coaching support, which of the following best describes your willingness to make a financial investment into The New Year 2021 EEC Group Program? *

Completely willing. I will do whatever it takes to pursue my Non-Nine-to-Five purpose. Pretty willing. I can see how making an investment will support me and I want help but I'm scared. A little willing. What if I can't trust you? Not willing at all. I'm upset that you would even ask this question.
What have you done so far to support your Non-Nine-to-Five purpose? eg: books you've read, courses you've taken, coaches you've worked with. *
If there is anything else you would like to share with Jen, please do so here.
Important Next Steps

Once your application is submitted I will personally review it. If it makes sense for us to connect I will email you back to schedule your Private Call with me.

How to prepare for your Private Call
1. Allow 1 full hour for your call.
2. Be in a quiet space so you won't be disturbed.
3. Be away from all electronics, silence them, or turn them off.
4. Please no multi-tasking
5. Do not take this call while driving.
6. Please hold this special 1 hour Private Call like you would an important doctors appointment and make it a top priority.
SO looking forward to reviewing your New Year 2021 EEC Group Program Application!

jen@thenonninetofive.com
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The Non-Nine-to-Five

SO looking forward to reviewing your New Year 2021 EEC Group Program Application!