Program Application

Your Name*

Your Email*

Phone Number*

Your Business Name*

Business Website*

Business Type*

Years In Business*

Stage of Business*

See https://www.90dayyear.com/the-five-stages-of-business/

Please provide a brief description of your business.*

Current Annual Revenue*

What is your % of growth from last year to this year?*

What are the 3 biggest accomplishments in your business over the past 3 years?*

What’s the vision you have for your business over the next year? (Where would you like to be at in your business one year from today?)*

Based on your current situation and goals for the next few months, what do you feel is your biggest area(s) of focus right now? Or biggest need?*

What are the 3 biggest challenges or obstacles you think will prevent you from achieving that vision?*

What skills or value can you bring to the table for others in the group?*

Why are you so motivated to be a peak performing entrepreneur? (It’s okay to be real and honest and say ‘fame’ or ‘money’, but it may also be to prove others wrong. Or to give your family a new reality. There’s no wrong answer.)*

Have you been through the 90 Day Year program previously?*

Yes
No

How did you hear about me and my coaching programs?*

To explore if our program is a good fit for you and your business, please take a few moments to answer the questions below. Once we receive your form, we’ll be in touch to schedule a time to speak and learn more about your current needs.

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