ProfitRx Mastermind Alliance Application
The application process is a very important step to placing you on a dream team of success- and action-oriented business owners that will provide you with resources you never imagined, accountability for your life and business goals, and access to ideas that can only result from the combined intelligence of a group of people committed to help you succeed!

The success of our Mastermind Alliance depends on your level of commitment and your integrity. Please complete the application as thoroughly and honestly as possible. The information you provide in this application is completely confidential and will be used for acceptance and placement purposes only.

You will be contacted shortly regarding acceptance into a Profit Hackers Mastermind Alliance. Occasionally an additional interview is needed to determine whether this is the best fit for you. If accepted, you will receive a digital agreement and payment details. Groups are formed for a 1-year commitment.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Business Name *
Your answer
Website URL *
Your answer
Stage of Business *
Please describe the core focus of your current business. *
Your answer
Choose the description that best suits your current situation *
Please share your vision for your business. *
Your answer
How well is your business fitting in with your goals for your life? *
Not well at all
Extremely Well
What do you hope your life and your business will look like one year from now? *
Your answer
What do you hope to gain from being part of the ProfitRx Mastermind Alliance? *
Your answer
The value you receive from being part of the ProfitRx Mastermind Alliance depends largely on the work you do between meetings. This includes work on assignments, contribution to the Facebook Group and meeting preparation and reflection. How much time can you commit each month outside of meetings? *
Your answer
Which of the following best describes you? *
Please check all of the following statements you agree to follow as a member of ProfitRx Mastermind Alliance *
Please indicate which payment option you prefer. *
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