The Underground Application Form

Full Name:

Email:

Phone Number:

Where do you live? (City/State/Province/Country):

Name of your company:

Do you own your company?:

Do you have any business partners or investors?:

Please list the website(s) for your business:

What trade industry are you in?:

How long have you been in business?:

How many employees do you have?:

What is your approximate annual gross revenue?:

Please give us a brief introduction into the history of your life (feel free to be as detailed as you'd like):

Why do you want to join this program and why should we choose you?:

What are you looking to gain out of becoming a part of this program?:

What changes would you like to see in your company and your life in the next 12 months?:

Do you consider yourself coachable?:
YesNoMaybe

Please explain a situation where you had terrible coaching. What made it so terrible?:

Have you been in any Entrepreneur coaching programs before? If so, please list them below:

What is your highest level of education and where did you go to school?:

How much money do you think that you've spent on self-education materials and training (outside of College/University programs) to acquire skills and knowledge? (Books, courses, seminars, coaching, etc.):

What is the last book that you read, and why did you read that particular book?:

What is your favourite movie, and why is it your favourite movie?:

If you had to give a new Entrepreneur one piece of business advice, and one piece of life advice, what would they be and why?:

Who are your top 3 role models? Feel free to provide an explanation:

Have you ever taken any personality tests before? If so, please enter the results below:
(If you haven't, you can take all of the tests for free at Understand.me)

Are you suffering any sort of financial hardship that would make committing to this program an unwise choice for you?:
YesNoMaybe

Theoretically speaking, if there was a referral contest in place (hint hint), is there anybody that you know who you think would benefit from a coaching program such as this? If so, please include their full name and contact details (email, phone, etc.):

Are you 100% committed and willing to do what it takes to become successful if accepted into this coaching program?:
YesNoMaybe