Stark Raving Entrepreneurs Prospective Client Application
We are excited to learn more about your business! This information helps us to share if one of our programs, or any of our custom packages, are a best fit for you and your goals. Thanks, Gina & Terry
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First & Last Name *
Email *
Phone Number *
Social Media Handles (primary)
Do you currently have a Youtube channel and podcast?  If so, please list the URLs below.
How did you hear about this program and us?
Describe your current business and your next set of goals? *
What is your current recurring revenue? (How much money comes into the business each month?)
Clear selection
Describe your team and how you want to grow your team over the next 12 months?
Tell us about your business journey so far. What ups and downs have you worked through already?
What strategies have you been using to grow thus far? How have they impacted your business?
How committed are you to accomplishing your goals?
Not so much
I am 100% committed
Clear selection
What do you feel you need in order to be successful at growing your business to the next level?
What do you value most in a coaching relationship?
Is there anything else we should know about you to evaluate your application?
Submit
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