Beyond the Business Plan Application Form

Please List Your Full Contact Information:

Today's Date (required)

Name (required)

Business Name

Phone (required)

Cell Phone

Address (required)

City, State Zip (required)

Email (required)

Website

Twitter

Facebook

Please describe what coaching or training you have participated in thus far:

1. Please describe your business as it is right now (including how long you’ve been in business, your revenue streams, team size, list size and successes)

2. If you are accepted into the program, what are your top 3 goals you want to accomplish over the next year?

3. What have been your three biggest accomplishments over the past three years?

4. Who or what do you think is responsible for your current results?

5. Who or what do you think is your biggest obstacle in reaching your current goals for this year?

6. What motivates you?

7. What is your Financial Goal for 2016?

What was your 2015 business revenue?

8. When you make a decision do you:

make it quickly?think about it, analyze pros/cons then decide?analyze for months before finally making a commitment?

9. Identify five areas that you want held as your main focus during this program. For each focus area, provide a simple heading and a description of a measurable result.

For example:
BE MORE PRODUCTIVE.
I have a system to follow up on calls and letters, I’m on time, I get all tasks
accomplished, I have realistic goals for new projects.

10. Do you have any other commitments that could keep you from being 100%
successful in this program? This could be a job, community service, board
commitments, family, etc.

11. Please rate on a scale of 1 to 10 (10 being the highest) your satisfaction level in the following areas of your life.

a. : Business

b. : Financial

c. : Family

d. : Health/Fitness

e. : Spiritual

f. : Recreation/Fun

g. : Social

h. : Personal Time

i. : Mindset

Is there anything else you’d like me to know in considering your application?