Contact Form

The V.I.S.I.O.N.A.R.Y Blueprint for Kingdom Entrepreneurs™ – 90-Day Strategy Intake & Application.

The V.I.S.I.O.N.A.R.Y Hub for Kingdom Entrepreneurs
Welcome to The V.I.S.I.O.N.A.R.Y Blueprint for Kingdom Entrepreneurs™—a 90-day faith-based strategy designed to help visionaries gain clarity, build structure, create sustainable income, and turn God-given ideas into measurable impact.
Dream. Plan. Build. Impact.
Write the vision, and make it plain upon tables, that he may run that readeth it. — Habakkuk 2:2 (KJV) But thou shalt remember the Lord thy God: for it is he that giveth thee power to get wealth. — Deuteronomy 8:18 (KJV).
SECTION 1 – CONTACT INFORMATION
Full Name

First NameMiddle NameLast Name
Email Address
example@example.com
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
City and State
Birth Date

MonthDayYear
Date
City and State

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Contact Method
SECTION 2 – YOUR BUSINESS OR VISION
Best Days and Times to Contact You
Which best describes you?
Current Business Structure
Business, Ministry, Nonprofit, or Project Name
Website and/or Social Media Links
Briefly describe your business, ministry, nonprofit, product, service, or idea
Who is your ideal customer, client, member, or community?
What problem do you solve or what transformation do you provide?
How long have you been working on this vision?
How much money do you have to invest in your business for training?
Desired Monthly Revenue 12 months from now
How many income streams do you currently have?
How many income streams would you like to build?
Top 3 Goals for the Next 90 Days:
What is the biggest obstacle preventing you from moving forward?
What would make this 90-day program a success for you?
Have you participated in coaching, mentoring, business development, or accelerator programs before?
If yes, please describe briefly:
SECTION 3 – V.I.S.I.O.N.A.R.Y SELF-ASSESSMENT
V.I.S.I.O.N.A.R.Y entrepreneurs are Vision-Driven, Imaginative, Strategic, Innovative, Originators, Nonconventional, Ambitious, Risk-Takers, and Yielded to God.

Rate your current strength in each of the V.I.S.I.O.N.A.R.Y quality.

Rows	1 – Needs Development	2	3 – Growing	4	5 – Strong
Vision-Driven
Imaginative
Strategic Mindset
Innovative
Originator
Nonconventional
Ambitious
Risk-Taker
Yielded to God’s Purpose

Which three V.I.S.I.O.N.A.R.Y qualities are currently your strongest?
List your top three goals for the next 90 days.
Which three qualities do you most need to develop?
SECTION 4 – GOALS, CHALLENGES & SUPPORT
What have you already tried?
What do you believe is missing from your current strategy?
Which areas do you need the most help with?

Other
How much time can you commit each week?
What is the most urgent decision you need to make right now?
SECTION 5 – READINESS & COMMITMENT
Are You Ready to Commit to the Personal, Spiritual, and Professional Discipline This Challenge Requires?
What could prevent you from completing the program?
How ready are you to take consistent action during the next 90 days?

1

2

3

4

5

6

7

8

9

10

1 is Not Ready Yet, 10 is Fully Ready
Are you willing to complete assignments, attend sessions, and be accountable for your progress?
Are you comfortable participating in a faith-based Kingdom entrepreneurship program?
What level of financial investment are you prepared to make in your business development right now?
Why do you believe you are a good candidate for The V.I.S.I.O.N.A.R.Y Blueprint for Kingdom Entrepreneurs™?
How did you hear about The V.I.S.I.O.N.A.R.Y Hub?
SECTION 6 – FINAL AGREEMENT

Please review the acknowledgment below, then sign and date your application.
I understand that results depend on my participation, implementation, consistency, and personal responsibility. I am ready to receive strategy, accountability, and support while doing the work required to move my vision forward.
Date

MonthDayYear
Date
Electronic Signature
The V.I.S.I.O.N.A.R.Y Hub, Inc. | Dream. Plan. Build. Impact. | www.visionaryhub.org
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The V.I.S.I.O.N.A.R.Y Blueprint for Kingdom Entrepreneurs™ – 90-Day Strategy Intake & Application.

SECTION 1 – CONTACT INFORMATION

SECTION 2 – YOUR BUSINESS OR VISION

Top 3 Goals for the Next 90 Days:

SECTION 3 – V.I.S.I.O.N.A.R.Y SELF-ASSESSMENT

SECTION 4 – GOALS, CHALLENGES & SUPPORT

SECTION 5 – READINESS & COMMITMENT

SECTION 6 – FINAL AGREEMENT