Thanks so much for your interest in working with me. Let's see if we are a fit. I am very careful about selecting the right people to support and train. In order to fully understand your needs and to see if I can help you reach your goals, please fill out the following application thoroughly and thoughtfully.
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What is your name?

 
What is your email address?

 
How did you hear about me?

 
What is your age range?


 
Where do you live? Time zone?

 
What is your website URL (if you have one)?

 
Please share with me a little bit about your business (who you are, what you do and how you serve your customers).

 
What is the long-term vision you have for your business? Ultimately, what do you want to accomplish, and why?

 
Name three places (TV shows, magazines, newspapers, podcasts) where you would like to be featured.

 
Describe your ideal customer.

 
What do you love most about running your business?

 
What are your biggest challenges right now in business?

 
What are your biggest challenges regarding messaging and outreach?

 
What is the biggest obstacle preventing you from reaching the goals you have?

 
If you could remove the issue, what would your life look like?

 
What are the three biggest goals you want to accomplish in 2018?

 
What three skills, if you mastered them next year, would change your business exponentially?

 
Why do you want to work with me?

 
What do you feel you need help with? (Check all that apply).


 
What was your revenue last year (total revenue before expenses)?


 
What is your revenue goal?

 
How much do you have to invest in order to clarify your message, create key connections with influencers, and be seen as an expert in your industry?


 
What program are you interested in?


 
What are you hoping to get out of our working together?

 
What are your unique gifts or strengths?

 
What are your weaknesses/areas where you could use some support?

 
Are you able to financially commit to the clarification of your message and the growth of your business with this investment?

 
Anything else I should know? Do you have any questions for me?

 
I would like to be considered for a spot in Cheryl Tan's Media Mastermind or for a spot in in her 1:1 mentoring program. I've honestly completed this application with an open mind. I understand that this application is confidential and I am not guaranteed a space. I'm aware that Cheryl may recommend a different program based on my needs and interests. I understand that final payment arrangements will be sent after acceptance, and must be confirmed by me within 48 hours to retain my space.


 
Thank you for applying to work with me. This says a LOT about you already and I hope even this application was insightful. I will follow up via email within 48 hours about your status after reviewing your application. I appreciate your commitment to yourself and your business!

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