Kim Breiland Coaching Application 2023

If you are here, that means you are a driven, committed, and innovative entrepreneur, ready to catapult your ALREADY successful business. 

Below you will find the application to apply for the next round of Scale to CEO, a 6 month mastermind for entrepreneurs committed to excellence, with a track record of success. 

Scale to CEO is a community of amazing 6 and 7-figure CEOs who are committed to fiercely protecting the culture they experience inside this Kim Breiland Coaching container. 

Please note, Scale to CEO is designed for entrepreneurs with a proven offer that has already generated results. The trainings, conversations, and support offered within Scale to CEO are geared towards advanced business strategies for hyper growth and maximum scalability. 

Please answer questions thoroughly, and include your contact information. You will be notified once we review your application. 

The Scale to CEO 6-month program includes a weekly mastermind group call, 1:1 business strategy/coaching calls, a private Facebook group to foster community in between calls...and in-person meet-ups coming in 2024. 

Please contact with any questions. 

We are looking forward to working with you in 2023!

Cheers to growing your business with GUMPTION! 
Sign in to Google to save your progress. Learn more
Email *
First name *
Last name *
Phone Number *
Email *
Business Name *
What type of business do you run? *
Please describe the service your business provides? *
How long have you been in business? *
Do you have a proven offer (already enrolled a few clients)?  *
How many clients have you served in your total business lifetime?  *
How much lifetime business revenue have you generated?  *
What is your annual revenue?  *
How much revenue have you generated in the last 3 months?  *
How many clients are you currently servicing?  *
What is your one year goal for your business?  *
What is your one year revenue goal for your business?  *
What has been the biggest obstacle in reaching your one year goal? (Select all that apply) *
Which of these best describes your current team? *
What are the three most important aspects you must have in a mastermind program?  *
Have you ever purchased a group coaching program before? *
What is your long-term vision for your company? *
Which program are you interested in joining?  *
Do you feel confident you can make the investment for the 6 month period?  *
Do you understand that this is a coaching program, not a done for you service?  *
On a scale of 1-5, please rate your commitment level to joining a 6 month business coaching program. (1 = Not Very Committed, 5 = Very Committed)  *
Is there anything you would like to share about yourself prior to submitting your application?  *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kim Breiland Coaching. Report Abuse