JULO Strategy CEO Mindset Application

JULO CEO Mindset™ Growth Application

This application is used to determine who is the best fit for our next CEO Mindset cohort, be sure to provide the necessary detail. All of your responses are confidential and will help us to better help you. We know that some of these questions may be very in depth. We have several organizations and individuals who are willing to sponsor or have scholarships for certain individuals that take this course. These generous organizations and individuals need the information to make sure they are investing in the right people that are committed and will use the course wisely going forward. We are honored to have these people who believe in our CEO Mindset program and are willing to invest in bringing out the CEO in YOU! If you cannot answer a question please answer with an N/A. It does NOT mean that you will not be considered.
Getting Started

First of all, how did you find us?
Were you referred to us? Tell us how and/or who?
How were you referred to JULO?*

Action ZoneBridge LocalFAVOB (Florida Association Veteran Owned Businesses)IndividualJULO Strategy GlobalLinkedInVeterans FloridaVeteratiWomen's Business CentreEmpowHermentCYBER MONDAYKS Chamber of CommerceOther
Name:*

First NameLast Name
E-mail*
Mobile Number*
Other Number

Area CodePhone Number
Which number do you prefer?*
Please Select
What is your gender?*
Please Select
What is your race/ethnicity?*
Please Select
What is your date of birth (XX/XX/XXXX)?

MonthDayYear
Date
Have you ever served in the military? (Scholarships may be available for qualifying Veterans.)*
Please Select
Which Branch did you serve?*
If you are a Veteran and interested in applying for a Veterans scholarship, you must qualify by having a business registered (or intend to register) in a grant-eligible state. Please see our list of current grant-eligible states below and select which applies to you. If your state is not currently listed as grant-eligible, please provide it in the "Other" box.*

FloridaOther
If your state is not listed as grant-eligible, we would love to bring the Veterans scholarship to your state. If you have a contact with your state's Veterans Administration, please share your contact's name and email below so we can contact them. *
The Veterans scholarship requires you to a) be a Veteran (or nearing Veteran status within 12 months) and b) own a business in a grant-eligible state (or have intentions to start a business in a grant-eligible state within two years). You understand that you may be financially responsible for services rendered if you do not meet these requirements. By checking the box below, you understand and agree to these statements.*

Yes, I agreeI am not applying for the Veterans scholarship
Veterans are required to submit a copy of the DD214. Please upload here. If you do not have your DD214, you may obtain one here - https://www.va.gov/records/get-military-service-records/ or obtain a Letter of Service from the Veterans Administration here - www.id.me. Your DD214 must show Member 4 area, Character of Service.

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Do you have a physical or mental impairment which substantially limits you in one or more major life activity; or have a record of having such an impairment; or are regarded as having such an impairment?
How did you hear about JULO Strategy Global?*
Home Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tell us more about you so we can best understand your background.
Which best describes your current employment or status? (Select all that apply.)

Employed Full TimeEmployed Part TimeRetiredSelf Employed Full TimeSelf Employed Part TimeStudentUnemployedPrefer to not answerOther
Which best describes the highest level of education you have completed?*
Which of the following best describes your annual household income?*
How many people live in your household?*
What is your work and or entrepreneur background and experience? *
Thanks for the information about you. Now, tell us more about your Company.
Company*
Position*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Company Phone Number*

Area CodePhone Number
Link to Company's Facebook
Link to Company's Instagram
Company URL
What is your company's or what is your goal incorporation date (XX/XX/XXXX)?*
What is the current status of your company?*
What is the legal structure of your company?*
Which of the following best describes the type of venture you anticipate working on in the JULO CEO Mindset program?*
Give a one-paragraph company bio. (How long you've been in business, what services/product you provide, how you got started, etc.)*
What problem does your business solve?*
In what industry would you categorize your Company? *
What do you define as your target market or market segment?*
How much revenue did your company bring in during the last calendar year (number only)?*
What are your current monthly revenues?*
What is (or will be) your primary source of revenue?*
What has been the main source of funding for your business?*
Are you currently seeking funding for your business?*

YesNoPlan to in the next 6 monthsPlan to in the next year
How much funding is your company seeking? *
How much capital, seed or personal funding have you or others invested in your business so far?*
How many hours a week do you plan to work on your business?*
How many employees do you currently have?*

None- JUST ME1 additional2345-1011-1516-2021-3031-4050+
Have you started selling your product or service?*
Has your Business obtained a Business Bank Account?*
Have you applied or have an EIN (Employer Identification Number) from IRS?*
If you have an EIN, please provide it below. If not, please provide your SSN if you are applying for a Veteran scholarship OR write N/A if you are not applying for a Veteran scholarship.*
What goals do you hope to accomplish during your time in JULO CEO Mindset? *
Commitment

Are you ready to commit your time and attention to make significant progress for your venture through JULO CEO Mindset?
There is a fee for participating in this program. ALL fees will be due before the first class (select all that apply to you):*

I am able to pay now and secure my seat in the Startup cohort - $2500.I am able to pay now and secure my seat in the Growth cohort - $1600.I would like to take advantage of the Startup payment plan - 3 payments of $915 each.I would like to take advantage of the Growth payment plan - 3 payments of $585 each.I am a Veteran and I am able to pay now to secure my seat in the Startup cohort - $1250.I am a Veteran and I am able to pay now to secure my seat in the Growth cohort - $800.I am a Veteran and would like to take advantage of the Startup payment plan - 2 payments of $687 each.I am a Veteran and would like to take advantage of the Growth payment plan - 2 payments of $438 each.I am a Veteran in a grant-eligible state and applying through the Veterans scholarship, if available.I would like to know how I can sponsor another entrepreneur's participation.
There is a fee for participating in this program. ALL fees will be due before the first class. Select your options below.*
JULO CEO Mindset Classes: Startup & Growth

Whether you are starting a business or have owned one for years, JULO CEO Mindset provides tools and strategies to develop and grow your business by offering two class options: Startup and Growth. STARTUP: The JULO CEO Mindset Startup class mobilizes entrepreneurs who are in the beginning stages of generating ideas and turning dreams into action. This class is for entrepreneurs who have not yet started their business or who have had it up to one year. GROWTH: The JULO CEO Mindset Growth class evaluates where your business is today and identifies obstacles that keep you feeling stuck and prevent you from growing your business. This class is for entrepreneurs who have owned their business 2+ years. LOCATIONS: JULO CEO Mindset classes are offered both virtually and in person at specific locations. Please see the class options below to see locations and class times.
Which JULO CEO Mindset class would you like to attend?*

StartupGrowth
What time of day typically works best for you? This helps us plan for future classes. (Select only 1)*

3:00pm - 6:00pm EST6:00pm - 9:00pm ESTBoth times work
Which of the following locations/cohorts would work best for you? (Select only 1)*

Tampa, FL / Startup: Tuesdays, October 10th - November 28th 2023, 6:00 pm - 9:00 pm EST (Every Tuesday for 8 weeks)Tampa, FL / Growth: Thursdays, October 12th - November 16th 2023, 6:00 pm - 9:00 pm EST (Every Thursday for 6 weeks)Miami/Ft. Lauderdale / Growth: Thursdays, January 4th - February 8th 2024, 6:00 pm - 9:00 pm EST (Every Thursday for 6 weeks)Miami/Ft. Lauderdale / Startup: Tuesdays, January 9th - February 27th 2024, 6:00 pm - 9:00 pm EST (Every Tuesday for 8 weeks)Panhandle/Ft. Walton / Startup: Mondays, February 19th - April 8th 2024, 6:00 pm - 9:00 pm EST (Every Monday for 8 weeks)Panhandle/Ft. Walton / Growth: Wednesdays, February 21st - March 27th 2024, 6:00 pm - 9:00 pm EST (Every Wednesday for 6 weeks)Virtual / Startup: Wednesdays, April 3rd - May 22nd 2024, 6:00 pm - 9:00 pm EST (Every Wednesday for 8 weeks)Virtual / Growth: Thursdays, April 4th - May 9th 2024, 6:00pm - 9:00 pm EST, (Every Thursday for 6 weeks)I am not located in one of the cities listed above but am interested in a virtual option for Startup Class on Monday Evenings for 8 weeksI am not located in one of the cities listed above but am interested in a virtual option for Growth Class on Wednesday Evenings for 6 weeks
Which of the following (if any) describes your previous entrepreneur leadership training? (Select all that apply.)*

College/UniversityOnline TrainingJULO CEO Mindset StartupJULO Strategy Global WorkshopsJULO CEO Mindset GrowthCO.STARTERS (Get Started Workshop)Action ZoneThriveBunker LabsEmpowHERment Entrepreneuer AcademyOther
Other Training-Please write in
What do you expect to gain from participation in JULO CEO Mindset? *
Terms of Participation
Upload a recent headshot: JPG File, size no larger than 1 MB*
As a part of the JULO Strategy Global community, I understand that it is my responsibility to uphold the following principals: • Place: We value the place around us. • Collaboration: Our community values creative cooperation and collaboration. • Respect: JULO Strategy Global is a respectful place. It is safe for diversity, ideas, inspiration, and creativity. • Value: Our community honors hopes, dreams, and values. • Inclusion: All are invited to join and build on the conversation. • Energy: JULO Strategy Global is a place where creative energy can thrive. • Mutual Benefit: A rising tide lifts all boats. I understand that JULO Strategy Global does not and can not guarantee that I will be successful in my business. Furthermore, the benefits gained from participating in JULO Strategy Global's programs are a result of time, energy and dedication from the founder(s), and thus are not based solely on the completion of the programs. I further understand and authorize JULO Strategy Global to provide applicable information to the assigned mentors and facilitators. I understand that any information released to be held in strict confidence by him/her. JULO Strategy Global has the right to accept or deny applications for any reason. No person will be excluded from participation in or otherwise subjected to discrimination in regard to services, programs and employment provided by JULO Strategy Global based on race, sex, color, national origin, sexual orientation, disability, age or religion.*

Yes, I agree to the above Terms of Participation
I understand that once I'm accepted as a participant of JULO CEO Mindset, I will be invoiced for the program fee, less any promotional discounts or grants, in which case I will be invoiced the appropriate fee. This fee must be paid before the start of class.*

Yes, I agree to the above Terms of Participation
I understand that the facilitators of JULO Strategy Global rely upon the active participation and assistance of local volunteers in order to effectively operate the program. These volunteers include, but are not limited to, mentors and speakers. I further understand that JULO Strategy Global is most effective when participants are willing to freely share experiences and advice with one another during the course of the program. In order to encourage these vital contributions, as well as those of program staff and facilitators, I hereby release, discharge, and hold harmless JULO Strategy Global, program staff, facilitators, volunteers, and fellow participants from any and all claims, demands, or causes of action that I may hereafter have based upon the advice provided during the program and I understand that I am entirely responsible for the results of the decisions I make involving my venture during and as the result of my participation in JULO Strategy Global.*

Yes, I agree to the above Terms of Participation
Each class participant receives a one-on-one Strategy Session with a JULO Strategist. Each JULO Strategist loves the one-on-one interaction with you and carves out specific times in their schedule to have those moments with you. We understand that your time is valuable, as well, and things do happen, so we have a Late/Rescheduling/Cancellation Policy for the one-on-one meetings with the JULO Strategist. We ask that you kindly provide at least 24-hours to reschedule or cancel your one-on-one time with the JULO Strategist. This will afford them the opportunity to book that time with another client. If that is not possible, or if rescheduling happens frequently, it is at the discretion of JULO Strategy Global management to charge the client a cancellation fee of $200. This is 50% off her regular hourly rate of $400. Please understand the value the JULO Strategist provides to you and respect their time. Communication is key. Please let us know that you will be arriving late. Should you arrive late to your one-on-one, the JULO Strategist will wait ten minutes and if you do not show for your appointment, you will forfeit the opportunity to have that one-on-one with them.

Yes, I agree to the above Terms of Participation
I do hereby give permission to JULO Strategy Global, its agents, and others working under its authority, full and free use of video/photographs containing my image/likeness. I understand these images may be used for promotional, news, research, and/or educational purposes. I do further certify that I am either of legal age, or possess full legal capacity to execute the foregoing authorization and release.*

Yes, I agree to the above Terms of Participation
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JULO CEO Mindset™ Growth Application

Getting Started

Tell us more about you so we can best understand your background.

Thanks for the information about you. Now, tell us more about your Company.

Commitment

JULO CEO Mindset Classes: Startup & Growth

Terms of Participation