Dynasty BuildHers Inner Circle Application and Assessment

1

Full Name* This field is required.Example: Jane Doe

First Name

Last Name

Suffix

2

Primary Email Address* This field is required.Example: jane.doe@example.com

Email Verified

Confirm Email

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

3

Primary Phone Number* This field is required.Example: (123) 456-7890

Primary Phone Number

4

Location (City, State, Country)* This field is required.Example: Tampa, Florida, USA

City

State / Province

Country

5

What stage is your business currently in?* This field is required.Example: Idea/Concept

Idea/Concept

Startup (0-1 year)

Established (1-3 years)

Mature (3+ years)

Other

6

Describe your business or business idea.* This field is required.Example: A boutique marketing agency specializing in social media management for small businesses.

7

Which industry best describes your business?Example: E-commerce

8

What primary products or services do you currently or wish to offer?* This field is required.Example: Social media strategy development, content creation, beauty products, and analytics reporting.

9

Who is your target audience?Example: Small business owners in the retail sector looking to enhance their online presence. (If you are not for sure leave blank)

10

Business Name (If Applicable)Example: Doe Enterprises

11

Please Upload Your Brand Logo (If Applicable)If you have an established brand or business, please upload your logo here. (Formats accepted: PNG, JPG, & JPEG)

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Upload your logo. (If Applicable)

12

Does the business have a website?* This field is required.Example: No

Yes

No

13

Business Website URL (If Applicable)Example: www.doeenterprises.com

14

Does your business have a physical address?* This field is required.Example: Yes

Yes

No

15

Business Address (If Applicable)Example: 123 East Avenue STE 222 Tampa, Florida 12345

Street Address 1

Street Address 2

City

State / Province

Postal / Zip Code

Country

16

Is the business set up as a legal entity?* This field is required.Example: No

Yes

No

17

Is your business legally structured? If so, select the type of legal entity. (If Applicable)Example: Sole Proprietorship

Limited Liability Company (LLC)

Partnership

S or C Corporation

Sole Proprietorship

Other

18

What type of sales transactions does your business partake in?* This field is required.Select all that apply.

Business-to-Business (B2B)

Business-to-Consumer (B2C)

Business-to-Government (B2G)

Unsure

19

Are you currently generating revenue in your business?* This field is required.Example: No

YESNO

20

What are your Gross Revenues? (If Applicable)Example: $101,000 - $500,000

Below $100,000

$101,000 - $500,000

$501,000- $1,000,000

$1,000, 001 - $5,000,000

+$5,000,001

21

What are your top three business goals for the next 12 months?* This field is required.Example: Increase client base by 25%.

Please enter goal #1.

Please enter goal #2

Please enter goal #3

22

What is the #1 challenge preventing you from reaching your business goals right now?* This field is required.Example: Unable to dedicate time due to demands of my 9-5 job.

23

What other challenges are you currently facing in achieving these goals? (If Applicable)Example: Limited marketing budget.

24

What is the long term vision for your products or services?* This field is required.Example: Repositioning the product, expanding to another market.

25

What do you perceive as your weaknesses and/or pain points?* This field is required.Example: I currently struggle with discipline and currently lack the financial resources.

26

Have you previously worked with a business coach or mentor? Or have participated in a community? If yes, what was the outcome?* This field is required.Example: Yes, collaborated with a mentor for six months, resulting in a 15% increase in revenue.

27

How many hours per week can you dedicate to working on your business development?* This field is required.Example: 15+ hours

1 - 5 Hours/Week

5 - 10 Hours/Week

10 - 15 Hours/Week

15+ Hours/Week

Other

28

What unique capabilities and resources do you possess?Example: I am able to build websites and have access to softwares that assist with organizing and streamlining processes.

29

Do you have solid financial support?* This field is required.Example: Yes

Yes

No

I'm not sure

Other

30

Are you willing to invest financially in professional development and business growth?* This field is required.Example: No

31

Are you financially prepared to invest in high-level, high-ticket, business mentorship to accelerate your growth?* This field is required.Example: Yes

YESNO

32

What is your investment appetite to invest in high-level, high-ticket, business mentorship to accelerate your growth?* This field is required.Example: $1,000 - $5,000

$0 - $500

$500 - $1,000

$1,000 - $5,000

$5,000 - $10,000

$10,000 - $20,000

$20,000+

33

What financial steps do you need to take before committing? (If Applicable)Example: I need at least 3 months to save the money to invest into mentorship.

34

Are you ready to take aggressive action within the next 30-60 days to grow your business?Example: No

YESNO

35

Why do you feel now is the right time to join Dynasty BuildHers Inner Circle?* This field is required.Example: I am now ready to commit and dedicate the time needed to accomplishing my goals and dreams.

36

Why are you interested in working with Dynasty BuildHers?* This field is required.Example: I am looking for community support. I believe your expertise aligns with my personal and business growth goals and objectives.

37

What specific outcomes do you hope to achieve through our collaboration?* This field is required.Example: Develop a comprehensive marketing strategy and enhance operational efficiency.

38

Would you like additional information on our funding resources for small businesses?* This field is required.Example: Yes

Yes

No

Other

39

Is there any other information you would like to share that would help us understand your business needs better?Example: I'm planning to expand into e-commerce and need guidance on the transition.

40

How did you hear about Dynasty BuildHers Inner Circle?* This field is required.Example: Instagram

41

If you were a referral, please provide the name of the person who referred you below. (If Applicable)Example: Jane Doe

42

Acknowledgment & Agreement* This field is required.Before submitting, please select the checkbox confirming your understanding:

43

Disclaimer:

By completing and submitting this assessment, you acknowledge that the information provided is accurate to the best of your knowledge. This application and assessment is for informational purposes only and does not constitute a contractual agreement or guarantee of services. Engagements with Dynasty BuildHers are subject to further evaluation and mutual agreement. All business ventures carry inherent risks, and past success does not guarantee future results. It is recommended to consult with financial, legal, and other professionals as necessary before making business decisions.

44

Please verify that you are human* This field is required.Please confirm that you are not a robot.