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Small Business in a Weekend™ Retreat Interest Application
Thank you for your interest in attending the Small Business in a Weekend™ 2.5 day retreat with Rachel L. Proctor! Please fill out the interest application below completely. Once your submission is received, we will follow up with you to schedule a 15 min interview to help us determine if this opportunity is right for you. If you experience any trouble with the application or to follow up on your submission, please email Customer Support at Support@RachelLProctor.com. Thank you!
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Email
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Your email
Date
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MM
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YYYY
Name:
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Your answer
Phone Number:
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Your answer
Website:
Your answer
Current Business Name if Available:
Your answer
Describe your current business or your business idea (whichever applies:
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Your answer
How did you hear about this opportunity?
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Emerge Online Devotional App Notification
Instagram
Facebook
Email
Other:
What are your key motivations for wanting to start a business? List 2-3 reasons why. If you already have a business up and going, please list your reasons for starting your current business.
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Your answer
What stage are you at in the entrepreneurial journey?
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Beginner - no business idea yet
Beginner - have an idea, no execution on idea yet
Intermediate - have an idea and have launched on part time basis
Have launched and taken the business full time
Veteran business owner
Other:
What has been your BIGGEST obstacle to starting your business?
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CHECK ALL THAT APPLY
Lack of approval from family/friends
Fear of the unknown/don't know what to expect
Lack of resources
Don't have clarity on the actual business idea
Don't know where to start
Fear of failure
Other:
Required
What type(s) of assistance would help you get started with your business?
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CHECK ALL THAT APPLY
Funding
Inspiration/encouragement
Mentorship from a successful entrepreneur
Access to business resources
A step by step road map to starting and running a successful business
Other:
Required
What would you be willing to pay for a live business coaching program? This would be a premium program that would outline the steps to starting, running and growing a successful business.
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$501-$1000
$1001-$3000
$3001 or more
I would not be willing to pay for this information
On a scale of 1-5, 1 being VERY UNMOTIVATED and 5 being EXTREMELY MOTIVATED, how ready are you to start, expand or grow your business?
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1 - VERY UNMOTIVATED
2
3
4
5 - EXTREMELY MOTIVATED
I don't feel any type of way about starting a business
Why did you select the above response regarding your motivation level?
Your answer
What generally drives you to achieve a desired goal?
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Examples of this are your family, money, achievement driven personality, etc.
Your answer
In what way do you prefer to learn and have information delivered to you?
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CHECK ALL THAT APPLY
Online (work at my own pace)
Online (modular with live instruction from the teacher - set dates for classes)
Live classes at a site
Combination of both live sessions and online sessions
Other:
Required
How far are you willing to travel to a live training that could provide the necessary tools to help you get your business started?
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I am only willing to travel within my current city
I am willing to travel within my city or to another state if necessary
I am not willing to travel for this training
How do you feel the Small Business in a Weekend™ Retreat would be beneficial to you and your business?
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Your answer
A copy of your responses will be emailed to the address you provided.
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