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INFINITE ERA APPLICATION FORM
1
Name
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First Name
Last Name
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2
Email
*
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example@example.com
Confirm Email
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3
Phone Number With Country Code (ie. +44)
*
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Country Code
Area Code
Phone Number
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4
Did someone refer you?
If so, please enter their full name. Leave black if no referal.
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5
Tell me about the coaching or mentoring you are seeking?
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6
Briefly describe your current business
*
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Who do you serve, what do you sell, what's the price point?
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7
What's your business/personal website?
*
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If you don't have one just type 'Don't have one yet'
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8
What does success look like to you professionally?
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If we asked you this question 12 months from today, and you were looking back over those 12 months, what has to have happened in your life professionally for you to feel happy with your progress?
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9
What does fulfilment and success look like to you personally?
If we asked you this question 12 months from today, and you were looking back over those 12 months, what has to have happened in your life personally for you to feel happy with your progress?
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