ProfitRx Mastermind Alliance Application

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The application process is a very important step to placing you on a dream team of success- and action-oriented business owners that will provide you with resources you never imagined, accountability for your life and business goals, and access to ideas that can only result from the combined intelligence of a group of people committed to help you succeed!

The success of our Mastermind Alliance depends on your level of commitment and your integrity. Please complete the application as thoroughly and honestly as possible. The information you provide in this application is completely confidential and will be used for acceptance and placement purposes only.

You will be contacted shortly regarding acceptance into a ProfitRx Mastermind Alliance. Occasionally an additional interview is needed to determine whether this is the best fit for you. If accepted, you will receive a digital agreement and payment details. Groups are formed for a 1-year commitment.

First Name *

Last Name *

Email Address *

Phone Number *

Business Name *

Website URL *

Stage of Business *

Seed and Development

Start-up

Growth and Establishment

Expansion

Maturity and Possible Exit

Please describe the core focus of your current business. *

Choose the description that best suits your current situation *

I know what I love to do, but I need guidance and support on how to create processes and procedures that support where I am and where I want to go.

I need support and resources to grow my business.

I need accountability and ideas to increase sales.

Other:

Please share your vision for your business. *

How well is your business fitting in with your goals for your life? *

Not well at all

Extremely Well

What do you hope your life and your business will look like one year from now? *

What do you hope to gain from being part of the ProfitRx Mastermind Alliance? *

The value you receive from being part of the ProfitRx Mastermind Alliance depends largely on the work you do between meetings. This includes work on assignments, contribution to the Facebook Group and meeting preparation and reflection. How much time can you commit each month outside of meetings? *

Which of the following best describes you? *

Action-oriented, move towards goals, enjoy productivity

Detail-oriented, like when things are comfortable

Idea-oriented, prefer others to bring ideas to fruition, like to have fun

Perfection-oriented, enjoy structure

Please check all of the following statements you agree to follow as a member of ProfitRx Mastermind Alliance *

I will come to meetings prepared to discuss the assignment.

I will stay on topic and abide by the agenda.

I will freely share my needs and seek group input.

I will willingly and generously contribute to the needs of others.

I will treat all members with respect.

I will accept others' definitions of success and support them toward whatever they hope to achieve.

I will make it a priority to attend all meetings, arrive on time and participate fully.

Required

Please indicate which payment option you prefer. *

Full Pay $3,600 (1 year) - due upon approval

Monthly Installments of $350 per month for 12 months - first payment due upon approval

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