AIW Mastermind Group Application
Please answer these questions honestly and be confident that the information you provide on this application is kept strictly confidential and will only be reviewed by your MM Facilitator for the purpose of placing you in your group.
Email address *
First Name: *
Your answer
Last Name: *
Your answer
Best Phone Number: *
Your answer
Number of years you’ve been self-employed or running your business? *
Your answer
Are you self employed full-time or part-time? 
 *
Your answer
What business are you in? *
Your answer
Do you have any employees? If yes, How many? *
Your answer
Do you have a mission or vision statement for your business? If yes, will you please include it here? *
Your answer
What kind of support are you looking for in your business and what are you hoping to gain from joining this group? *
Your answer
Where would you like your business to be in the next 12 months? *
Your answer
How committed are you to making that happen on a scale of 1 to 10? *
Your answer
What is your target MONTHLY Income goal? *
Your answer
What has been your biggest challenge in hitting you monthly target income goal? *
Your answer
What is the HUGE breakthrough you'd like to create? If we could "wave a magic wand," describe specifically what be happening in your business? *
Your answer
What else is important for me to know about you and your business? *
Your answer
Are you willing to participate and commit to being in all calls and get-togethers (if local) for this group (excluding emergencies) for the time we are together? *
Your answer
Are you willing to abide by the confidentiality and non-disclosure agreement? *
Your answer
Do you see any foreseeable roadblocks for you personally or professionally in the next 90 days? *
Your answer
Are you willing to share your expertise, talent, skills and resources in service of supporting others in the group? *
Your answer
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