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MASTERMIND SIGNUP SHEET
Please let me know a bit about yourself first
. Let's get started!
First Name
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Last Name
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How would you describe yourself?
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I am an entrepreneur
I work in a leadership role
Company Name
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Mailing Address
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Email Address
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Confirm Email
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Phone Number (with area code)
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Best way to contact: (select one)
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Call
Email
Text
Address 1
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Website URL
City
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State/Province
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Zip/Postal
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Select Social Media Used:
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Facebook
Instagram
Pinterest
Twitter
LinkedIn
Other
Other
Tell me about your Business
Where in the business life cycle are you?
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Start-Up
Growth
re-Invention
Established
What is your current business or business idea?
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What are you producing or selling?
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Do you have employees? If so, how many?
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Average Annual Sales
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What do you want out of this business? Self-employment, or build a scalable empire.. or something in between? Please be as specific as possible.
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Goalsetting
If you had 3 key goals for your business or leadership role, what would they be? Please be specific.
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What was your greatest success in business or in your role as a leader over the last year?
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What issue(s) or roadblocks are you currently struggling with?
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Skills and Abilities
Indicate areas that you may need to learn and/or gain skill in (check all that apply).
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Writing a Business Plan
Deciding on a business structure (Sole Proprietorship, Partnership, Shares/Incorporation, etc.) Market Research and Feasibility Assessments
Financial Planning (Cash Flow Projections, Break Even Strategies, Pricing, Costing, Assessing Margins, etc.)
Branding
Marketing (Conventional & Digital) Setting Goals
Accessing Grants/Resources/Scholarships
Help with improving productivity
Market/Product/Process/Technology Development (Circle those that apply)
Effective Networking
Sales and Customer Service Prototype Development Time Management
Financial Management
Human Resources (Planning, Hiring, Management, Labour Laws)
Developing the mindset for success
Computer Skills
Go-To-Market Strategy Finding Investors
Pitch making to investors
Preparing and Understanding Contracts Export readiness
Long-term Sustainability Planning
I have read and understood the
terms and conditions
*
Yes
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