"Your Best Year Ever" Consulting Program
APPLICATION

Below is the preliminary application for acceptance into the "Your Best Year Ever" program.  Once you have submitted this application, you will receive an email or phone call within 24 hours from Kirstin Carey to discuss the next phase of the application process.

NOTE: If you do not receive an email or phone call in 24 hours, please call Kirstin Carey directly at (610) 450-4334 as your application may have gotten lost in cyber space somewhere.

*Name:

required

*Email:

  required

Phone:

  

Website:

Referrer:
Were you referred by someone?

Brief description
of your business:

Three biggest
challenges:

o

Years in business:

Are you
incorporated?

 Yes      No     Not Sure

What is the most you've ever charged for a project?

 $

Have you ever been able to charge that much for any other project?

 Yes      No     Not Even CLOSE!    Almost that much

If accepted, what specifically are you looking to gain from
participating in this program?

What other programs have you participated in to advance your business?

What professional organizations do you belong to? (ex. SALI, WPPI, ASID, etc.)

Please enter any other information you think would help us understand your needs and your goals.

 

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