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JULO CEO Mindset Application
Get ready for the mindset shift that changes everything!
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1
Application for JULO CEO Mindset Phase 1!
No matter what industry or stage of business, we can prepare you for success.
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Name:
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First Name
Last Name
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E-mail
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Personal Phone Number
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Home Mailing Address
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Street Address
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City
State / Province
Postal / Zip Code
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Afghanistan
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China
Christmas Island
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Cuba
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Germany
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Hong Kong
Hungary
Iceland
India
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Iran
Iraq
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Israel
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Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
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North Korea
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Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
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Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
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Namibia
Nauru
Nepal
Netherlands
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New Caledonia
New Zealand
Nicaragua
Niger
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Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
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Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
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Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
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Saint Pierre and Miquelon
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Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
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Sierra Leone
Singapore
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Somalia
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South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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6
Who referred you?
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If "Other" please type the name of the person/group who referred you into the box for the purpose of tracking referrals.
Personal Referral
FAVOB (Florida Association Veteran Owned Businesses)
JULO Strategy Global
LinkedIn
Event Booth
Veterans Florida
Veterati
Women's Business Centre
EmpowHerment
CYBER MONDAY
KS Chamber of Commerce
Facebook
JULO Global Website
Other
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7
Referral's Name and/or Title & City
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For our Referral Program Records.
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8
What is your gender?
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Male
Female
Other
Male
Female
Other
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9
What is your date of birth (XX/XX/XXXX)?
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Date
Month
Day
Year
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10
Do you have a physical or mental impairment which substantially limits you in one or more major life activity; or have a record of having such an impairment; or are regarded as having such an impairment?
*
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Yes
No
Prefer not to answer
Yes
No
Prefer not to answer
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11
What field best describes your current/future Business or Company?
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Please Select
Nonprofit
Business Coaching
For Profit
Please Select
Please Select
Nonprofit
Business Coaching
For Profit
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12
As a nonprofit, have you set up a 501(c)(3)?
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Please Select
Yes
No
In the process!
Please Select
Please Select
Yes
No
In the process!
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13
As a business coach, what's your specific goal or intention behind attending our training?
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14
What specific skills or knowledge do you hope to gain from attending this training, and how do they contribute to your growth as a coach?
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15
As this training is for your personal growth, our materials cannot be used in your own course materials, an NDA is required to be signed to protect both your company and JULO Global and to avoid any potential conflicts of interest or ethical considerations. Do you agree?
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YES
NO
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16
Do you currently have a Company or Business?
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YES
NO
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17
Do you have hobbies or dreams that you are considering turning into a company? What kind of business ideas do you have? And what has kept you from making that leap from idea/hobby to profitable business?
*
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Write N/A if it doesn't apply.
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18
Have you started selling your product or service?
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YES
NO
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19
Company Name
*
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20
Company URL
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21
Give a one-paragraph company bio. (How long you've been in business, what services/product you provide, how you got started, etc.)
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22
Have you ever served in the US Military?
*
This field is required.
Scholarships may be available for eligible veterans.
YES
NO
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23
Scholarships Available from Veterans Florida
Limited availability for qualifying veterans.
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24
Are you applying for a Veterans Florida scholarship? (Choose one)
*
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NOTE: Scholarships are very limited and may not be available at the time of your application. We can put you on a waitlist as classes become available.
Yes! I qualify for the scholarship!
I do not qualify / I'm not sure - please help!
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25
Which Branch did you serve?
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26
Please select the cohort timeframe you are interested in.
*
This field is required.
We will reach out regarding specific class dates and times.
Summer Cohorts: June - August
Fall Cohorts: September - November
Winter Cohorts: December - February
Spring Cohorts: March - May
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27
Classes meet once a week for three hours. Which of the following days works best for you?
*
This field is required.
This helps us plan future scholarship courses. Pick all that apply.
Mondays PM
Tuesdays PM
Wednesdays PM
Thursdays PM
Saturdays AM
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28
This cohort requires an 8-week (three hours, once a week) commitment. Are you able to commit to 8 weeks of class? If NO, please explain.
*
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If NO, Provide prior commitments or dates you may not be able to attend.
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29
The Veterans scholarship requires you to a) be a Veteran (or nearing Veteran status within 12 months) and b) own a business in a grant-eligible state (or have intentions to start a business in a grant-eligible state within two years). You understand that you may be financially responsible for services rendered if you do not meet these requirements. By checking the box below, you understand and agree to these statements.
*
This field is required.
Yes, I agree
I am not applying for the Veterans scholarship
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30
If you are a Veteran in a state other than Florida, we would love to bring the Veterans scholarship to your state. If you have a contact with your state's Veterans Administration, please share your contact's name and email below so we can contact them.
*
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31
Please select the cohort timeframe you are interested in.
*
This field is required.
We will reach out regarding specific class dates and times.
Summer Cohorts: June - August
Fall Cohorts: September - November
Winter Cohorts: December - February
Spring Cohorts: March - May
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32
Classes meet once a week for three hours. Which of the following days works best for you?
*
This field is required.
This helps us plan future scholarship courses.
Mondays PM
Tuesdays PM
Wednesdays PM
Thursdays PM
Saturdays AM
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33
COST: Payment is not collected at this time. Upon completion of this application, you will have an opportunity to talk with a JULO Team Member to discuss payment options in detail. Please choose one option that best fits your needs now.
*
This field is required.
Regular price is $2,500. 50% Discounts are available for: Teachers / Veterans (with proof of certification), Early Bird rates, and Virtual classes. All payment must be submitted before the start of class. Financing is available at www.juloglobal.com.
I'm ready to find my inner CEO and can submit payment before the start of class.
I qualify for that discount! I am a Teacher and/or Veteran and can provide documentation.
I am interested in the Financing option!
I want to sponsor a student or class!
I'm not sure if I'm ready for this. Can I have more info?
I am a Veteran Spouse and applying for the Veteran Scholarship
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34
This is an 8-week commitment, once a week for three hours. You are asked to commit to the entire 8 weeks. You may have the opportunity to make up one missed class at no charge, however make up classes are not offered after week 5. Can you commit to the 8-week cohort? If NO, please explain.
*
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35
Have you received / are you currently receiving a scholarship from other entrepreneur training programs? Please share below.
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36
Upload a Professional Headshot: JPG file, no larger than 1 MB
For use in marketing & media purposes. It will be shared with Veterans Florida.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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37
As a part of the JULO Strategy Global community, I understand that it is my responsibility to uphold the following principals: • Place: We value the place around us. • Collaboration: Our community values creative cooperation and collaboration. • Respect: JULO Strategy Global is a respectful place. It is safe for diversity, ideas, inspiration, and creativity. • Value: Our community honors hopes, dreams, and values. • Inclusion: All are invited to join and build on the conversation. • Energy: JULO Strategy Global is a place where creative energy can thrive. • Mutual Benefit: A rising tide lifts all boats. I understand that JULO Strategy Global does not and can not guarantee that I will be successful in my business. Furthermore, the benefits gained from participating in JULO Strategy Global's programs are a result of time, energy and dedication from the founder(s), and thus are not based solely on the completion of the programs. I further understand and authorize JULO Strategy Global to provide applicable information to the assigned mentors and facilitators. I understand that any information released to be held in strict confidence by him/her. JULO Strategy Global has the right to accept or deny applications for any reason. No person will be excluded from participation in or otherwise subjected to discrimination in regard to services, programs and employment provided by JULO Strategy Global based on race, sex, color, national origin, sexual orientation, disability, age or religion.
*
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Yes, I agree to the above Terms of Participation
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38
I understand that once I'm accepted as a participant of JULO CEO Mindset, I will be invoiced for the program fee, less any promotional discounts or grants, in which case I will be invoiced the appropriate fee. This fee must be paid before the start of class.
*
This field is required.
Yes, I agree to the above Terms of Participation
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39
I understand that the facilitators of JULO Strategy Global rely upon the active participation and assistance of local volunteers in order to effectively operate the program. These volunteers include, but are not limited to, mentors and speakers. I further understand that JULO Strategy Global is most effective when participants are willing to freely share experiences and advice with one another during the course of the program. In order to encourage these vital contributions, as well as those of program staff and facilitators, I hereby release, discharge, and hold harmless JULO Strategy Global, program staff, facilitators, volunteers, and fellow participants from any and all claims, demands, or causes of action that I may hereafter have based upon the advice provided during the program and I understand that I am entirely responsible for the results of the decisions I make involving my venture during and as the result of my participation in JULO Strategy Global.
*
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Yes, I agree to the above Terms of Participation
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40
Each class participant receives a one-on-one Strategy Session with a JULO Strategist. Each JULO Strategist loves the one-on-one interaction with you and carves out specific times in their schedule to have those moments with you. We understand that your time is valuable, as well, and things do happen, so we have a Late/Rescheduling/Cancellation Policy for the one-on-one meetings with the JULO Strategist. We ask that you kindly provide at least 24-hours to reschedule or cancel your one-on-one time with the JULO Strategist. This will afford them the opportunity to book that time with another client. If that is not possible, or if rescheduling happens frequently, it is at the discretion of JULO Strategy Global management to charge the client a cancellation fee of $200. This is 50% off her regular hourly rate of $400. Please understand the value the JULO Strategist provides to you and respect their time. Communication is key. Please let us know that you will be arriving late. Should you arrive late to your one-on-one, the JULO Strategist will wait ten minutes and if you do not show for your appointment, you will forfeit the opportunity to have that one-on-one with them.
Yes, I agree to the above Terms of Participation
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41
I do hereby give permission to JULO Strategy Global, its agents, and others working under its authority, full and free use of video/photographs containing my image/likeness. I understand these images may be used for promotional, news, research, and/or educational purposes. I do further certify that I am either of legal age, or possess full legal capacity to execute the foregoing authorization and release. I also agree to accept email messaging from JULO Strategy Global.
*
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Yes, I agree to the above Terms of Participation
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42
Let's get SOCIAL!
Connect with other Entrepreneurs and CEOs, hear about upcoming opportunities, and find your A-Ha moments!
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43
e-Signature
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