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Select...
Origin® Incubator (Annual revenue of $50K - $99K)
Origin® Mastermind (Annual revenue of $100K+)
Which program are you applying for?
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First Name
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Last Name
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Email
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Mobile Number (if you would like text reminders for our call)
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Select...
Kate's IG Stories
The Kate & Mike Show
Personal invite from Kate
On Kate's email list
Kate's Instagram
Kate's Facebook
A Facebook live
Other
How did you hear about the Origin Incubator or Mastermind??
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How long have you been in business?
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How many people do you have on your email list?
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Website
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Facebook
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Instagram
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YouTube or other social media
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What was your annual revenue in 2018?
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What are you on track to bring in for annual revenue in 2019?
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What are your business goals/vision for 2020?
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What challenges have you already experienced or do you foresee experiencing as you work toward your business vision?
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What has brought you to the point where you think that this program would be helpful for you?
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How do you see this program supporting you, your goals, and your vision?
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What skills, expertise, and/or qualities do you have to offer to the other participants?
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Is there anything else you'd like me to know?
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I am prepared to make a financial investment in myself and my business.
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Select...
Yes
No
I am the final decision-maker when it comes to financial investments in my business.
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If no, please explain further below:
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SUBMIT
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