4-Man Accelerator Application

Because this is an intimate setting and the group synergy is just as important as the content we cover, I’m not going to accept everyone that throws money at me.  You’re going to have to apply for this.

The questions on the application below will help me get to know you and understand your needs better.  The more detailed you are, the better chance you’ll have of being accepted (it shows you’re serious).  I’ll take applications on a first-come, first-served basis.

Once you fill out the application, someone from my office will be in touch to schedule your strategy session.  This isn’t a time for us to sell you on coming into the program.  It’s when you should be selling me on why you’re the best fit for the program.  You’ll also be able to ask me questions about anything you’re not clear about.

* All fields are required

First Name:

Last Name:

Primary Email:

Primary Website:

Best Phone Number to Reach You:

Country You Live In:

Make a selectionUSAAfghanistanAlbaniaAlgeriaAndorraAngolaAnguillaAntigua BarbudaArgentinaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia-HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkinaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsChadChileChinaColombiaComorosCongoCosta RicaCote D’IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGermanyGhanaGibraltarGreeceGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew ZealandNicaraguaNigerNigeriaNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPaluaPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSpainSri LankaSt HelenaSt Kitts NevisSt LuciaSt Vincent The GrenadinesSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTanzaniaThailandThe GambiaTogoTongaTrinidad and TobagoTunisiaTurkeyTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican City StateVenezuelaVietnamWest IndiesWestern SamoaYemenZambiaZimbabwe

Current Monthly Business Profit:

Make a selection0 – $10,000 per month$10,000 – $25,000 per month$25,000 – $50,000 per month$50,000 – $100,000 per monthover $100,000 per month

Target Monthly Business Profit:

Make a selection0 – $10,000 per month$10,000 – $25,000 per month$25,000 – $50,000 per month$50,000 – $100,000 per monthover $100,000 per month

Describe your current business in as much detail as possible (what you do, who your customers are, what makes you different, what value you bring to the market, etc.).

(Seriously) Why haven’t you yet hit your Monthly Target Revenue?

Why are you now serious about taking your success to the next level?

What is the single biggest challenge we can help you with?

How much capital do you have available right now to invest in improving your business?

Make a selectionI have $0 – $100 available to invest in my successI have $100 – $250 available to invest in my successI have $250 – $500 available to invest in my successI have $500 – $1,000 available to invest in my successI have $1,000 – $2,500 available to invest in my successI have $2,500 – $5,000 available to invest in my successI have $5,000 or MORE available to invest in my success

Why are you the ideal person to come to a 4-Man Accelerator?

Complete the following sentence. Brian, in practice I am a(n)…

excuse maker who looks for opportunity but then finds ‘reasons’ not to take advantage of them.

procrastinator who decides to take action but never pulls the trigger until the amazing opportunity is gone.

action-taker who sees an opportunity and moves forward.