| First Name* |
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| Last Name* |
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| Email* |
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| Phone* |
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| Address* |
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| City* |
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| Country* |
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| 1. Have you ever run a business before?* |
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| If YES, Was it home based or traditional?* |
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| 3. Given the right tools, mentoring, vehicle, systems and team do you belive you could become financially free?* |
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| 4. Which of the following are forms of leverage? Click all that apply |
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| 5. What If any other “Opportunities” have you tried in the past? Click all that apply: |
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| 6. What is your Current Employment Status?* |
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| 7. How much would you be willing to put towards building your business and reaching your goals?* |
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| 8. Gender?* |
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| 9. What type of income are you currently accustomed to?* |
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| 10. What is your monthly income goal for the next 6 Months?* |
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| 11.What are you passionate about in life? |
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| 12. What are your Interests/hobbies that you would like to spend more time doing? |
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| 13. Can you devote at least 7 hours per week to learning, training,personal and professionals developement and action?* |
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| 14. How would your life change if you met your monthly goal? |
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| 15.What are some of your greatest Strengths/Achievements and Why should we choose you over other applicants? |
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| 16. If my application is successful and I join your team, I promise to act with Integrity, fulfill my obligations, keep my word and take responsibility for my personal success and business? |
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| 17. Briefly describe your current financial Situation.* |
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18. Describe what drove you to this website, this opportunity and the desire to seek a better
lifestyle.* |
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| 19. How did you find this website?* |
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| 20. Are you Coachable?* |
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| 21. Question or comment for Aaron Byerlee and his selection committee.* |
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