Coaching and Collaboration for Building Enriching Businesses Step 1 Name * First Name Last Name Email * Which life freedom would you like to improve? * Freedom of Money Freedom of Time Freedom of Health Freedom of Travel Freedom of Emotion Step 2 Company Name * Industry Type * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Website * http:// Are you the owner or CEO of said company? * Yes No What is your company's Annual Gross Revenue? * $ Please Read and Confirm the Following Statement: * If I am approved for the Enlightened Entrepreneurs Business Group, I understand that there is a $25K annual investment for myself and my business. I acknowledge this investment is not a financial burden on myself or my company's cash flow. I understand and agree Step 3 Number of Employees * What does your business provide? * What is your target market? * What are your top 3 goals for your business? * What are your biggest 3 challenges in your personal or work life? * Why are you interested in joining the Enlightened Entrepreneurs group? * Include any additional information you think is important for us to know about you. Step 4 At Enlightened Entrepreneurs, we want to ensure you are a great fit for our culture and that we can help you reach your life freedom goals! Please confirm you've read and understand the following statement: I understand that the Enlightened Entrepreneur's group is an exclusive and distinguished group made up of other high profile members who will enclose industry secrets, strategy, advice and intellectual capital. Consequently, I accept and am willing to sign a Confidentiality Agreement to protect myself and other members of the group. I understand and agree Are you really a good fit for Enlightened Entrepreneur's Group? * I am a very self-driven individual. Strongly Disagree Disagree Neutral Agree Strongly Agree I enjoy participating in conversation and group activities. Strongly Disagree Disagree Neutral Agree Strongly Agree I value respect and integrity as a major part of my value system. Strongly Disagree Disagree Neutral Agree Strongly Agree I love constructive criticism and enjoy a coaching atmosphere. Strongly Disagree Disagree Neutral Agree Strongly Agree Thank you!
