| Full Name |
|
| Male or Female |
Male
Female
|
| Mailing Address |
|
| Time Zone |
|
| Contact Telephone Numbers |
|
| Best Time to Call |
|
| E-mail Address |
|
|
Check to add to List |
| Website Address - if any |
|
| How do you currently earn a living? |
|
| If you have a Job - Please Describe |
|
| If you have a Business- Please Describe |
|
Why do you want to be a Protégé and
become a Business Mentor? |
|
Why will you be successful as
a Business Mentor? |
|
| Name five past successes in your life |
|
Describe your family situation
(wife, kids, married, divorced) |
|
| Your Age |
|
| Name the last three books you read |
|
| Any seminars attended? |
|
Are you a member of the
DollarMakers Joint Venture Club? |
Yes I am
No I am not |
Have you attended a DollarMaker
Joint Venture Bootcamp? |
Yes I have
No I have not |
| To what do you ascibe your past failures? |
|
| What are your strong points? |
|
| What are your weak points? |
|
Investment required is $19,000.00 US plus GST in Canada.
Financing is available on approval of credit.
We accept cash,credit card, or casheirs check
|
| How do you intend to pay? |
Cash
Check
Credit Card
Financing
|
| Do you have the support of your family? If not please elaborate |
I have their support
|
Important Question: We do not guarantee any results or promise any business. Your success is up to you. The amount of money you make is up to you. There is no money back guarantee - we only want serious people who take responsibility for their lives.
Do you accept this?
I Accept
I Do Not Accept
|
| Can you afford to lose the investment of $19,000 US? |
I Can
I Can Not |
| If no please elaborate |
|
What is you level of motivation?
1 = I don't care
10 = Whatever it takes 24/7/365 |
|
| Why is this your level of motivation? |
|
| Is there anything else you need us to know when we evaluate your application? |
|
Why should we accept YOU
as our protoge? |
|
