Small Business Kickstarter (SBK) Application
Please take a few minutes to answer the following questions. I will reach out to you if I believe both of us are a good fit for each other.

Nielouphar A
Email *
Full Name *
Valid WhatsApp number *
Instagram Handle *
How did you hear about SBK? *
What kind of business do you own/manage? *
What is your business's average monthly income? (Please use Google to convert USD to your local currency.)
Clear selection
Where do you see your business in the next 6-12 months? *
What do you think is stopping you from reaching the above goal? *
If you are accepted into SBK, do you give me the permission to hold you accountable for any of your self sabotaging patterns? *
There are only 10 spots in total - why do you want to be a part of SBK? Why should I choose you over the other applicants? *
SBK Coaching Program requires an investment in 3 digits (in USD). Are you ready to invest in yourself and your business? (Instalment plan is available) *
I am 21 years of age or older *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy