Programs Application

Program(s) you are applying for: MEG Growth Mastermind, MEG Startup Mastermind, 1-1 Small Business Coaching, Business Blueprint Course or other program. *

Name *

First

Last

Preferred email *

Preferred cell phone or office number *

Geographic location of your business (City, State; Province) and time zone *

Business name (or "None" if you are a new business) *

Number of years in business *

Business description/concept (2-3 sentences) and industry *

Number of independent contractors? *

Number of employees, including self? *

Tell us about your sales for the past 12 Months. If you are just starting out, let us know. Otherwise, are your sales increasing? Have you plateaued? Have you hit a road bump? Are they decreasing? Do you have a solid sales process in place? This information is strictly confidential. It is for Startup to Growth use only. *

Select the category that reflects your sales for the past 12 months. If you do not know for sure, select the category that reflects your best guesstimate. Again, this information is strictly confidential and is not shared with the group. It is for Startup to Growth use only.

Tell us about your expenses. If you are just starting out, let us know. Do you keep a close watch on your expenditures, or not so much? Are there items you need to, or want to, purchase for your business but have not? If so, what are they? Is it your goal to find the resources to purchase them this year, or are they on your 2- or 3-year plan? *

Select the category that reflects your expenses for the past 12 months. If you do not know for sure, select the category that reflects your best guesstimate. Again, this information is strictly confidential and is not shared with the group. It is for Startup to Growth use only.

Website URL: *

Social media URLs: *

Do you have a business plan (yes/no)? When was the last time it was updated? *

What are the top 3 challenges, life/business/combination, that you are facing right now? *

Why are you applying for this program? As specifically as possible, what outcome do you wish to achieve? *

Additional comments. What else would you like us to know?

Checkbox *

I verify I will make the time and resources available to complete this program.

Programs Application

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