Please complete this form to the best of your ability with the information you have available to you at this time. Do your best to answer each item as fully as you can.

If there is a question that you're having trouble answering, skip it and come back to it before you press submit. If you feel there are repetitive questions you can either go deeper or just refer to a previous answer.

As soon as I get your answers, I'll send you an email so we can schedule a call to see if you're a good fit for the DIGITAL MARKETING ACADEMY.

I appreciate your willingness to share yourself with me and look forward to getting to know you more!

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Email *
Name *
First and last name
Email *
Phone number *
Mail Address: City, State, Zip
Business Name (if different from your name)?
Please provide your Website URL.
Provide Social Media Pages Addresses if you have any (Facebook, Instagram, LinkedIn)?
How long have you been in business for yourself?
Describe your business as it is right now.  Who are you helping (types of clients)? What do you sell to them? What are the price points of your services (please be specific)?
What’s the biggest goal you have for joining the DIGITAL MARKETING ACADEMY?
What are the three biggest obstacles that are stopping you from taking your business to the next level?
What are your three biggest accomplishments in the last year in your business?

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