Business Builder Camp Application
Please take some quiet time to complete this thoroughly and thoughtfully! We are working to carefully cultivate a group of Strong business builders who will push and support each other. I also want to get to know you and what you are creating and building before our conversation.

Please complete this application and then I will coordinate a time with you for an initial 30 minute conversation. If that goes well for both of us we will schedule an initial wide and deep coaching conversation to help you get more clarity on your next moves and to help you see if the camp is right for you.

I can't wait to learn more about you. My business model is simple - meet and work with awesome high flying business and family/life building dudes.....then help them be even more... and be inspired by them to push myself even farther. I also want us to rest and enjoy life too - it isn't all about hard driving. We need to remember to sit around the campfire and enjoy a succulent buffalo steak and laughter after the hunt! - Wayne
Email address *
PART I - About you
Your name:
Your Company Name and Hometown
Your website address (if applicable):
What type of business(es) do you operate?
Are you on LinkedIn? (if you are I'll find you!)
Clear selection
Mobile phone number
PART II - The Past
What are your 3 Biggest accomplishments to date and why are you proud of them? (Could be Life or business)
Part III - The Present
How many employees do you have?
What is the biggest single success or "YEEHAW We did it" moment from the past 12 months?
Tell us about your family a bit... spouse, children, etc?
What is a Project you are working on currently that you are excited about and focused on?
What is missing from your Life or Business and how do YOU keep it out?
Part IV - The Future
The Extraordinary - If you were to look back 3 years from now and say "going to Business Builder Camp was one of the best decisions in my life..." what Insight did you get about you (deep) or the business that made all the difference?
The Impossible - What would you like to accomplish that looks Impossible but if it were achieved would change everything?
What specifically do you want to learn from other business owners in camp?
A copy of your responses will be emailed to the address you provided.
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