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Your Name
Your Email
Your Phone Number
Your business website (If you don't have one please type "No Site") 
What is your business's current monthly revenue?
What is your target monthly revenue?
What do you feel is your biggest obstacle in hitting your target monthly revenue goals?
How many hours do you work per week?
What is your target work hours per week?
What do you feel is your biggest obstacle in hitting your target weekly work hours?
How many staff members do you have? (full or part-time)
Briefly describe your business. Who do you serve? What service/product do you offer?
How willing and able are you to invest in the growth of your business right now?
How soon can you get started?
What makes you different from the other applicants and why should we choose to work with you?
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