Executive to Entrepreneur Application

This application helps us ensure you get the most value from the program and connects you with the right cohort of executives.

Personal Information

Full Name: __________________________________________

Email: _______________________________________________

Phone: ______________________________________________

LinkedIn Profile: ______________________________________

Location: _____________________________________________

Professional Background

1. What's your current job title and company?

2. How many years of leadership/management experience do you have?

3-5 years

6-9 years

10-15 years

15+ years

3. What's the size of your current team and budget responsibility?

Long answer

Entrepreneurial Goals

5. Describe your business idea or the direction you want to explore:

6. What's driving your desire to become an entrepreneur?

7. What does success look like to you in 2 years?

8. How do you plan to leverage your current professional experience?

Readiness & Commitment

9. What's your timeline for starting your business?

Ready to start immediately

Within 3-6 months

Within 6-12 months

Just exploring options

10. How many hours per week can you realistically dedicate to building your business?

40+ hours (full-time)

20-30 hours

10-20 hours

5-10 hours

11. Do you have financial runway to support your transition?

12+ months of expenses saved

6-12 months saved

3-6 months saved

Need to generate income quickly

12. What's your biggest challenge in making the executive-to-entrepreneur transition?

Program Fit

13. Why are you interested in Executive to Entrepreneur specifically?

14. What do you hope to gain from working with other executives in transition?

15. Are you ready to invest $5,997 in your entrepreneurial future?

Yes, I'm ready to invest in myself

Yes, but I'd need the payment plan option

I need to discuss with my spouse/partner first

I'm still considering my options

Final Questions

17. What questions do you have about the program?

18. Is there anything else you'd like us to know about your situation?

Next Steps

After reviewing your application, we'll contact you within 48 hours to: Answer any questions you have about the program
Discuss your specific situation and goals
Determine if Executive to Entrepreneur is the right fit for you
Schedule your enrollment if approved