6-Figure Info Marketing Coaching Program Candidate Information Form

6-Figure Info Marketing Coaching Program
Candidate Information Form

Jeff Vacek

Please fill out the information form as throughly as possible. All required fields are notated with a *. After you fill out the form press the 'Submit' button below and your form will be immediately sent to us. You will be contacted shortly to setup your personal interview call.

First Name *

Last Name *

Primary Email Address *

Daytime Phone *

Evening Phone *

Street Address *

City *

State *

Zip Or Postal Code *

Country *

1. Please describe your educational background *

2. Please explain your current employment situation *

3. Please describe your past business experience *

3. Do you use a PC or Mac? *

4. Have you ever promoted or sold anything online? *

Yes

4a. If yes, tell us about it. Have you promoted and/or sold physical products or information products? Were they your product or someone else's? Ever promoted and/or sold anything on Ebay? Do you have a subscriber list?

5. Currently in a Mentoring, Mastermind, or Coaching Group? *

Yes

5a. If so, tell us about it

6. How much of the Info Renegades Course did you complete? *

7. Attended any Info Renegades Platinum/Power Coaching Calls? *

Yes

8. Besides Info Renegades, what other courses have you purchased? *

9. Which courses have you COMPLETED?

10. If all courses not complete, what kept you from completing them?

11. What books if any are you reading now? *

12. List the 3 best books you've read in the last year? *

13. On scale of 1-5 (5=Great 1=Poor) rate your writing skills? *

14. Do you actively use Facebook? *

Yes

15. Do you actively use Twitter? *

Yes

16. Do you actively blog? *

Yes

16a. If so, where?

17. Attended a live event in Personal Development or IM arena? *

Yes

17a. If so, whose and when?

18. Name 5-10 lists you are currently subscribed to. *

19. Are you currently promoting any MLM (multi-level marketing) products and/or services? *

Yes

20. Please list all MLM products/services you are currently involved with and what results you've had, if any.

21. What niches/industries are you most interested in building an online business around? (e.g. health, fitness, self improvement, personal development, wealth creation, etc.) If you have not yet chosen a niche, please list possible area *

22. How much available working capital do you have currently to put toward building your business? Please be accurate. (This will remain confidential) *

23. Why do you want to learn this system and be a part of this exclusive Coaching & Mastermind group? *

24. What are the top 3 results you most want to achieve in 2011?

24a. Have you achieved any of them yet?

Yes

24b. If yes, please explain.

24c. If No - what do you think is keeping your from achieving them?

25. Will you be working this system with your husband/wife? *

Yes

26. Will you be working this system with a business partner who is NOT your husband/wife? *

Yes

27. Availability over the next few days? (PLEASE BE SPECIFIC) *

28. What is your time zone?

Please only submit your form once. Submitting multiple forms will only delay our ability to respond to all candidates in a timely manner.