Apply For "The Startup With Faith Program"

Apply For "The Startup With Faith Program"

Complete the application below as thoroughly and thoughtfully as possible. If upon reviewing the application the information is insufficient your next steps call will be rejected.
Section I • Applicant Information

We respect your privacy and will use the information your provide to determine whether you are a right fit, communication with you, and provide information about our program.
Full Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
SMS Consent:*

YesNo
E-mail*
example@example.com
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Section II • Occupation Information
Business Name:*
What is the name of your business?
Industry/ Niche:*
Describe your industry or niche?
Business Structure:*

LLCS-CorpC-CorpSole Proprietorship
Stage Of Business:*

Idea StagePre-Revenue StageLaunched StageGrowth Stage
Occupation Status:*

EmployedSelf-EmployedFull-Time EntrepreneurOther
Current Occupation:*

Business OwnerSales/ MarketingCoach/ ConsultantOther Professional
Biggest business challenge right now?:*
What is the #1 challenge holding your business back?
What motivates you to make these changes right now?:*
What is the #1 challenge holding your business back?
Limiting beliefs you want to overcome through coaching?:*
What mindset block is keeping you from launching & growing your business?
What's your vision/goal for your business?*
Where do you want your business to be in 6–12 months?
Section III • Online Presence Information
Instagram Handle:
Website URL:
LinkedIn Handle:
Youtube Handle:
Section IV • Program Readiness and Expectations Information
If accepted, how soon are you looking to get started?*

Right now!Few weeks!Soon!
How willing and able are you to invest in the growth of your business right now?*

I have the financial resources to invest in the growth of my business right now.I have to access the financial resources to invest in the growth of my business right now.I would like access to funding based on my credit.
How much money are you willing to invest right now in your startup business?*

$5,000-$10,000$10,000-$15,000$15,000-$20,000
Where did you hear about us?*

Social mediaReferralWebsite
What is it going to cost you if you don't invest in your start up business?*
If accepted, what do you believe you will accomplish due to your participation in the program?*
Are there any specific coaching methods or styles you prefer?*
Should be Empty: