Mentorship Program

1

Business or Brand Name* This field is required.

2

Business Website (if applicable)

3

How long have you been building your business or brand?* This field is required.

Less than 1 year

1–3 years

3–5 years

5+ years

4

Current Annual Revenue Range:* This field is required.

Under $50,000

$50,000–$100,000

$100,000–$500,000

$500,000+

5

What inspired you to apply for The Blueprint Mentorship Experience?* This field is required.

6

Describe your business or vision in one sentence:* This field is required.

7

What do you believe is keeping you from reaching your next level?* This field is required.

8

What are your top 3 strengths as a leader or visionary?* This field is required.

9

What areas do you most want to refine during this mentorship?* This field is required.

10

In one word, how do you want to feel at the end of this experience?* This field is required.

11

How do you plan to apply what you learn?* This field is required.

12

Commitment & Acknowledgment* This field is required.

I understand that the $49.99 application fee is non-refundable.

I understand that if selected, my initial mentorship payment will be $2,500, followed by $250 monthly payments for four (4) consecutive months.

I understand that participation is limited and competitive.

I am ready to invest in myself, execute with excellence, and step into my next level of leadership.

13

Applicant Signature: * This field is required.

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14

Date* This field is required.

Date

15

Applicant Information* This field is required.

First Name

Last Name

16

Phone Number* This field is required.

Please enter a valid phone number.

17

Email Address* This field is required.

example@example.com

18

Social Media Profiles (Facebook, Instagram, LinkedIn, etc.):