Mentorship Application
If Accepted a one time fee of $499 is due at the time of acceptance.
Name
*
First Name
Last Name
Email address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Business/Organization name
*
Website
Nature of the Business
*
Position
Business Address if different from Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number
Please enter a valid phone number.
What Stage are you in your business?
*
Please Select
Idea phase
Recently launched
1–2 years in
3+ years and looking to grow
Not sure
What goals are you hoping to accomplish through this mentorship?
*
Please Select
Clarity and structure
Back-office systems and business setup
Pricing and profit strategy
Client growth and marketing
All of the above
What has held you back from reaching those goals on your own?
*
Please Select
Lack of guidance
Overwhelm/confusion
No support system
Fear or procrastination
I’m not sure
Are you willing and able to invest time, energy, and resources into growing your business right now?
*
Please Select
Yes, I’m ready.
Not sure, I need more info.
No, not at this time.
What’s your biggest struggle in business right now?
*
Why do you believe this mentorship is the right fit for you?
*
Anything else you'd like to share that would help us get to know you better as a mentee?
If accepted, are you ready to secure your spot with payment or a deposit?
*
Please Select
Yes
I need a payment plan
Not yet
Submit
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