GeniUs Evaluation Interest Form

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First Name *

Last Name *

Email *

Social Media Profile Link (preferably LinkedIn) *

Why do you want to pursue or why are you pursuing the entrepreneurial journey? *

I want to make a positive global impact through my entrepreneurial ventures.

I want to take control of my life and calendar by being my own boss.

I want to accomplish different goals and outcomes in my life that I could not otherwise do with a job working for someone else.

Other:

Required

Why do you want access to the GeniUs Mentorship program? *

Seeking entrepreneurial mentorship

Seeking entrepreneurial mentorship with mentorships in applicable aspects of life

Seeking entrepreneurial mentorship with incubation system to practice what I learn

Seeking entrepreneurial incubation to practice entrepreneurship

Seeking entrepreneurial incubation to practice entrepreneurship and learn to start my first venture

I want to build a business network.

I want to create resources for funding my business ideas and/or ventures.

I want to pivot or diversify my career path.

Other:

Required

Are you a(n) *

Aspiring entrepreneur

Young entrepreneur (business owner for 5 years or less)

Seasoned entrepreneur (business owner for 5 years or more)

Other:

Book a complementary consult: https://koalendar.com/e/mg1ved

Reach out to Dr. Ved Prakash (Prashik) via LinkedIn in case you don't receive zoom meeting details.

Were you referred by someone?

How did you hear about us? *

Google Search

Facebook

Instagram

Twitter

YouTube

Other:

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