APPLICATION FORM


Name
Address
Date of Birth (day/month/year)
Relationship status
Children – names and ages
Your business name
What programme are you applying for?

Describe what your business currently does.

If different, describe what you would like your business to do.

Why are you doing what you are doing?

What do you do that people believe only you can do?

What are you doing that's difficult?

Who are you connecting?

What do people say when they talk about you?

What are you afraid of?

What's the scarce resource?

Who are you trying to change?

What does the change look like?

Would we miss your work if you stopped making it?

What do you stand for?

What contribution are you making?

How would you describe your significant relationships?

In 18 months time, after our work together, how would you know specifically that this has been a 10x investment of your time, energy and money?

Human Verification: numerical value that equals four plus three =