Membership Application Form

GURU's Membership Application

To apply for membership in the Gurus Program please complete all questions.
Name

First Name Last Name
Business Name

Business Address

Website
E-mail
Work Phone

Area Code Phone Number
Cellular Phone

Area Code Phone Number
Industry
Date Business Opened
Number of Employees
How long have you been in business?
What areas of expertise do you possess?
Describe some of the challenges you've experienced as a small business owner and what solutions you found to overcome them.
Why do you want to become a Guru?
Please list any qualities and personal characteristics that you possess which you feel will make you a good Guru.
Please list 3 References below, including their contact information. Include at least one client and one colleague.
If accepted in the GURU's program as a Guru, you must make an annual donation of $100.00 to this important program. Do you accept this condition?

Yes No
Who from/how did you hear about the GURU's program?
Signature
Signature date
Should be Empty:

GURU's Membership Application