Gold Mastermind Circle Application Form

The 6 Month Gold Mastermind Circle is for people that have completed either Soul-Purpose to Prosperity or a 5 month coaching program with Christine.

To apply for your spot within the Circle, please complete and submit the form below. Once we receive your submission, we will review your application and be in touch to schedule a conversation to determine if this group is a good fit for you and your business!

Please Note: We respect your privacy and promise to keep all applications strictly confidential.

Date
Name*
FirstLast
Phone*
Email*
Website*
Company Name*
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Tell Me About YOU
Describe your business as it is right now.*
What are you currently doing to market your business? Also indicate your list size and your social media presence. (Facebook, Twitter, LinkedIn) Don’t worry, having a following is not required for success in this program.*
Briefly describe why you are a good candidate the Soul-Purpose to Prosperity Mastermind and what you feel you can contribute to the group.*
What have been your 3 biggest achievements in the past year? In the past 3 years?*
What are the biggest challenges/obstacles you would like to overcome to move your business to its next BIG level? (List them in order, with the most pressing being #1)*
Who or what are you biggest blocks to reaching your current goals? And what would block you from investing in you?*
If you could change 3 things in your business/life this year, what would they be?*
What is your BIG Vision for your business – and you? *
What are you willing to let go of in order to find the soul of your business and bring your ideas to life?*
How willing and ready are you to invest in yourself and to play BIG to achieve your dreams and goals?*
Who are/have been the major role models in your life? What stand-out qualities do they have?*
What do you consider YOUR 3 strongest qualities/characteristics?*
What new or expanded products/services would you like to introduce in the next 12 months to reach your goals this year?*
What was your approximate gross business revenue for the each indicated years? (Please note your information is completely confidential.)
2011 (Forecasted)*
2010
2009
How will being accepted into this program make a difference in your life and your business?*
What else should I know when considering you for a spot in this Mastermind Program?*
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Gold Mastermind Circle Application Form

Tell Me About YOU

What was your approximate gross business revenue for the each indicated years? (Please note your information is completely confidential.)

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