MEG PowerUp Your Practice™ Application

Groups now forming for 2021.

Thank you for your interest in our MEG PowerUp Your Practice^TM Groups. Please fill out the application below and we will get back to you shortly. Also please email robin@startuptogrowth.com to let her know your submitted your application. We look forward to the possibility of working with you!

Please Note: Application is required. We require a 12-month commitment.

Name *
First
Last

Preferred Email *

Preferred Phone (Cell or Office) *

Geographic Area Where Your Business is Located (City, State; Province; Other; Be Specific) *

Business Name *

Number of Years in Business *

Business Description (2-3 Sentences) and Industry *

Number of Employees, Including Self *

Sales and Profit for Prior 12 Months (Confidential; for Startup to Growth Use Use Only) *

Website *

Do you have a business plan? If so, when was the last time it was updated? *

Why are you applying for a PowerUp Your Practice™ Professional Development Group? *

To expand upon your prior answer, specifically, what are the top 3 outcomes you want to achieve within your group over the next 12 months? *

What else would you like us to know about joining a PowerUp Your Practice™ Professional Development Group that we didn't ask? *

12-Month Committment *
Yes, I am willing to commit 12 months to my PowerUp Your Practice™ Professional Development Group.

Checkboxes *
I verify I will make the time available required by this program.

Website

MEG PowerUp Your Practice™ Application

MEG PowerUp Your Practice™ Application

Groups now forming for 2021.

Recent Posts

Archives