New Year 2021 EEC Application

The Non-Nine-to-Five

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

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

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / 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)*

WillingessCommitmentConsistencyAll 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 less6 months to 1 year1 to 3 years3 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 5k5k - 10k10k - 50k50k +
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.*

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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.*

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Which of the below "low level energies" are you currently experiencing? (Please mark all that apply)*

self-doubtdistractionfrustrationoverwhelmprocrastinationperfectionismdefensivenessdifficulty making decisionssecond guessing yourselfnot feeling good enoughbelief that you must work "blood, sweat, and tears" to be successfulanxietydepression
Do you believe in a higher power - eg: The Universe, God, Spirit, The Divine, or any other language that resonates with you?*

YesNo
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?*

YesNoI 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*

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Have you ever made a financial and time investment into a rigorous 3 month, 6 month or year long program?*

YesNo
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!