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Founders & CEOs Business Growth Program Application
Apply to join our exclusive programs designed to accelerate your business growth. Please complete the application below.
CONTACT INFORMATION
First Name
*
Last Name
*
Email Address
*
Phone Number
*
City
*
State
*
Preferred Method of Communication
*
A
Email
B
Phone
C
Text
SELECT YOUR PROGRAM
Which program are you interested in?
*
A
4 Week Business Accelerator Boot Camp — $4,497
B
The Corporate Influencer Program — $20,000 yearly
C
I'm interested in both and would like help determining the best fit.
TELL US ABOUT YOUR BUSINESS
Business Name
*
Website
*
What industry is your business in?
*
How long have you been in business?
*
A
I am preparing to launch
B
Less than 1 year
C
1–2 years
D
3–5 years
E
6–10 years
F
10+ years
Which best describes your current business stage?
*
A
IDEA: Developing or validating the business
B
STARTUP: Building customers, revenue, and consistency
C
GROWTH: Increasing revenue and creating structure
D
SCALING: Building systems, teams, partnerships, and expansion
E
LEGACY: Building long-term impact, wealth, and sustainability
What was your approximate business revenue over the last 12 months?
*
A
Pre-Revenue
B
Under $25,000
C
$25,000–$49,999
D
$50,000–$99,999
E
$100,000–$249,999
F
$250,000–$499,999
G
$500,000–$999,999
H
$1M+
I
Prefer to discuss privately
What are your primary sources of revenue?
*
YOUR CURRENT BUSINESS NEEDS
What are the TOP THREE areas you need the most support with right now?
*
Business Strategy
Revenue Growth
Sales
Offer Development
Pricing
Marketing
Branding
Visibility
Strategic Partnerships
Corporate Opportunities
Access to Capital
Leadership Development
Systems & Operations
Team Development
Customer Acquisition
Customer Retention
Personal Brand Development
Media & Public Relations
Speaking Opportunities
Executive Positioning
Scaling
Other
What is the biggest challenge currently preventing your business from reaching its next level?
*
What is your biggest business goal for the next 12 months?
*
What would make joining this program a successful investment for you?
*
INVESTMENT READINESS
Why are you looking for business support NOW?
*
How ready are you to implement new strategies and make changes within your business?
*
0
1
2
3
4
5
6
7
8
9
10
If accepted, when would you be prepared to begin?
*
A
Immediately
B
Within 30 days
C
Within 60 days
D
Within 90 days
E
I'm currently gathering information
Which statement best describes your current investment readiness?
*
A
I am prepared to make the required investment if accepted.
B
I am prepared to invest but would like to discuss payment options.
C
I need more information before making an investment decision.
D
I am interested, but I am not currently prepared to make this level of investment.
Who will be involved in making the final decision to enroll?
*
A
I am the sole decision maker.
B
My spouse/partner and I will make the decision.
C
My business partner/team will be involved.
D
My company/organization must approve the investment.
E
Other
FINAL QUESTIONS
How did you hear about us?
*
A
Founders & CEOs Coffee Meetup
B
The Revenue Play Webinar
C
The Partnership Play Webinar
D
Referral
E
Social Media
F
Email
G
Partner Organization
H
Previous Event
I
Other
If you were referred by someone, please provide their name.
*
Is there anything else you would like us to know about you, your business, or what you're looking for?
*
ACKNOWLEDGMENT
Please confirm:
*
I understand that submitting this application does not guarantee acceptance into a program.
I understand that the 4 Week Business Accelerator Boot Camp is a $4,497 investment and The Corporate Influencer Program is a $20,000 investment.
I understand that, if selected, I may be contacted to discuss my application, program fit, investment, and next steps.
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