WORK WITH ME- INQUIRY FORM
Filling out this form will help me to understand more about who you are, and determine if you would be a good fit for this opportunity and mentorship. Please answer each question and provide as much detail as possible! I will reach out within 24-48 hours of form submission with more information.
Name:
First Name
Last Name
Email:
example@example.com
Phone number and Instagram handle:
Preferred method of communication:
Phone (text)
Phone (call)
Instagram DM
Email
Other
Where are you located?
United States
Canada
United Kingdom
Ireland
Poland
Are you over 18 years of age?
Yes
No
Tell me about yourself! What state or province are you from? Do you work or go to school? What do you like to do for fun?
What are your biggest strengths?
Have you ever been self-employed?
Yes
No
What would you hope to gain from this opportunity? (select all that apply)
A community of like-minded people
Unlimited income earning potential
Financial freedom
Time freedom
The ability to earn free trips and travel more
Personal growth and development
Other
How much time are you willing to dedicate to working from your phone daily?
What is your monthly income goal?
Under $100
$100-$499
$500-$999
$1,000-$5,000
$5,000-$10,000+
I want to work my way up and become a millionaire!
Other
Are you willing to schedule a meeting over the phone or in person to discuss your results?
Yes
No
Submit
Should be Empty: